临床误诊误治2017，Vol.30Issue(5)：22-25,4.DOI:10.3969/j.issn.1002-3429.2017.05.008
气管支气管淀粉样变性临床报告及误诊原因分析
Tracheobronchial Amyloidosis: A Case Report and Misdiagnosed Analysis
赵亚梅 1卓宋明 1孙俊生 1古志球1
作者信息
- 1. 518116 广东 深圳,深圳市龙岗中心医院呼吸内科
- 折叠
摘要
Abstract
Objective To investigate misdiagnosed causes and prevention methods of tracheobronchial amyloidosis (TBA).Methods Clinical data of 1 TBA patient misdiagnosed as having bronchial asthma complicated with infection was retrospectively analyzed.Results The patient was admitted for cough, expectoration and shortness of breath for 8 months and deterioration for 15 days.Effect of corresponding treatment for bronchial asthma was poor in other hospital.The patient was confirmed TBA by results of clinical manifestations, chest CT examination, pathological examination of bronchial mucosa biopsy and positive Congo red staining after admission in our hospital.Glucocorticoid treatment was given, and the symptoms were alleviated.The patient's condition was stable by telephone follow-up 90 days after discharge, and glucocorticoid treatment was continued.Conclusion The main causes of misdiagnosis for tracheobronchial amyloidosis include that clinical manifestations are lack of specific, routine axial imaging examination is easily to miss diagnosis and bronchoscopy has limitation.关键词
淀粉样变性/气管/支气管/误诊/哮喘Key words
Amyloidosis/Trachea/Bronchi/Misdiagnosis/Asthma分类
医药卫生引用本文复制引用
赵亚梅,卓宋明,孙俊生,古志球..气管支气管淀粉样变性临床报告及误诊原因分析[J].临床误诊误治,2017,30(5):22-25,4.
