TB or not TB…

R. Hughes, T. Felton, M. Munavvar, J. Howells
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引用次数: 0

Abstract

Allergic Bronchopulmonary Aspergillosis (ABPA) can cause dyspnoea in patients without a past history of asthma and with a normal eosinophil count.

ABPA usually occurs in patients with a pre-existing history of asthma—it is unusual in non-asthmatic patients [Greenberger PA, Patterson R. Allergic bronchopulmonary aspergillosis and the evaluation of the patient with asthma. J Allergy Clin Immunol 1988;81:646–50]. It is important not to miss the diagnosis of ABPA as delayed treatment can lead to irreversible pulmonary fibrosis [Basich JE, Graves TS, Baz MN, et al. Allergic bronchopulmonary aspergillosis in corticosteroid-dependent asthmatics. J Allergy Clin Immunol 1981;68:98–102]. We describe the case of a patient with ABPA, with no past history of asthma and a normal eosinophil count, whose initial presentation mimicked tuberculosis.

不管是不是结核病……
过敏性支气管肺曲霉病(ABPA)可引起呼吸困难的患者没有哮喘病史和嗜酸性粒细胞计数正常。ABPA通常发生在有哮喘病史的患者中,而在非哮喘患者中并不常见[Greenberger PA, Patterson R.]。过敏症临床研究[J]; journal of nurses training; 2009; 31(1): 444 - 444。重要的是不要错过ABPA的诊断,因为延迟治疗可能导致不可逆的肺纤维化[Basich JE, Graves TS, Baz MN,等]。皮质类固醇依赖性哮喘患者的过敏性支气管肺曲菌病。过敏症临床研究[J]; journal of nurses training; 2009; 33(5): 391 - 391。我们描述了一例ABPA患者,既往无哮喘病史,嗜酸性粒细胞计数正常,其初始表现酷似肺结核。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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