Acute Pulmonary Interstitial Fibrosis Caused by Anti-GBM Disease Combined With ANCA-Associated Vasculitis-The Role of Combined Cardiopulmonary Ultrasound in Early Differential Diagnosis and Evaluation: A Case Report.

IF 1.2 4区 医学 Q3 ACOUSTICS
Haotian Zhao, Ling Long, Yaru Yan, Zekai Wang, Heling Zhao, Li Li
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引用次数: 0

Abstract

Combined cardiopulmonary ultrasound (CCPUS) can be applied to bedside differential diagnosis of acute dyspnea. Pulmonary interstitial fibrosis is usually a chronic lung disease. However, some special diseases can cause pulmonary interstitial fibrosis with rapid progression. This study included a patient with unexplained dyspnea. We excluded cardiogenic pulmonary edema (CPE) by CCPUS and refused hemodialysis. The characteristics of lung ultrasound of the patient were similar to pulmonary interstitial fibrosis. Finally, the patient was diagnosed with antiglomerular basement membrane (anti-GBM) disease combined with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, causing acute progressive pulmonary interstitial fibrosis in lung tissue as a target organ.

抗gbm疾病合并anca相关性血管炎所致急性肺间质纤维化——联合心肺超声在早期鉴别诊断和评价中的作用:1例报告
联合心肺超声(CCPUS)可用于急性呼吸困难的床边鉴别诊断。肺间质纤维化通常是一种慢性肺部疾病。但某些特殊疾病可引起肺间质纤维化,病程发展迅速。本研究包括一例不明原因的呼吸困难患者。我们通过CCPUS排除心源性肺水肿(CPE)并拒绝血液透析。患者肺部超声特征与肺间质性纤维化相似。最终,患者被诊断为抗肾小球基底膜(anti-GBM)病合并抗中性粒细胞胞浆抗体(ANCA)相关血管炎,以肺组织为靶器官引起急性进行性肺间质纤维化。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
248
审稿时长
6 months
期刊介绍: The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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