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Churg–Strauss syndrome and bronchiectasis Churg-Strauss综合征和支气管扩张
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-02-08 DOI: 10.1016/j.rmedx.2007.01.002
Paul King
{"title":"Churg–Strauss syndrome and bronchiectasis","authors":"Paul King","doi":"10.1016/j.rmedx.2007.01.002","DOIUrl":"10.1016/j.rmedx.2007.01.002","url":null,"abstract":"<div><p><span>A patient with Churg–Strauss syndrome (CSS) treated for many years with systemic corticosteroids developed a chronic cough with purulent </span>sputum<span> production. Computed tomographic scanning demonstrated widespread bronchiectasis<span>. The bronchiectasis may have arisen as a primary manifestation of the CSS or may have occurred in the context of prolonged immunosuppression.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 26-28"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91447375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
An unusual phenomenon following simple aspiration of pneumothorax 单纯吸入性气胸后的不寻常现象
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-10-22 DOI: 10.1016/j.rmedx.2007.09.009
Daniel K.C. Lee
{"title":"An unusual phenomenon following simple aspiration of pneumothorax","authors":"Daniel K.C. Lee","doi":"10.1016/j.rmedx.2007.09.009","DOIUrl":"10.1016/j.rmedx.2007.09.009","url":null,"abstract":"","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 4","pages":"Page 181"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.09.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89470515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Upper gastrointestinal bleeding as the initial manifestation of lung adenocarcinoma metastatic to the stomach 上消化道出血为肺腺癌转移至胃的初始表现
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-04-30 DOI: 10.1016/j.rmedx.2007.02.001
Shau-Hsuan Li , Sheng-Lan Wang , Wan-Ting Huang , Yi-Chun Chiu , Kun-Ming Rau
{"title":"Upper gastrointestinal bleeding as the initial manifestation of lung adenocarcinoma metastatic to the stomach","authors":"Shau-Hsuan Li ,&nbsp;Sheng-Lan Wang ,&nbsp;Wan-Ting Huang ,&nbsp;Yi-Chun Chiu ,&nbsp;Kun-Ming Rau","doi":"10.1016/j.rmedx.2007.02.001","DOIUrl":"10.1016/j.rmedx.2007.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Metastasis to the stomach rarely occurs, and gastric metastasis as an initial sign of cancer occurs even less frequently. We report herein a case of lung adenocarcinoma in which the patient's initial symptom was secondary to gastric metastasis.</p></div><div><h3>Case</h3><p>A 49-year-old woman was admitted to the hospital with complaints of melena, which had developed 3 days previously. Endoscopy revealed a gastric ulcer with bleeding. The endoscopic biopsy was consistent with adenocarcinoma. The initial clinical impression was gastric adenocarcinoma; however, a chest radiograph revealed right hilar enlargement. Bronchoscopic biopsy confirmed adenocarcinoma. Immunohistochemical studies in both specimens were positive for thyroid transcription factor-1 and thus suggestive of primary lung adenocarcinoma. The patient died 12 months after initial diagnosis.</p></div><div><h3>Conclusion</h3><p>Although the initial manifestation was unusual, clinicians should be aware that malignant gastric ulcers may represent as an initial sign of underlying lung adenocarcinoma and an immunohistochemical examination for thyroid transcription factor-1 should be obtained if metastatic gastric tumor from the lung is suspected. Optimal treatment rests on making an accurate diagnosis.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 2","pages":"Pages 67-70"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73958702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Haemorrhagic pleural effusion secondary to inflammatory pseudotumor of spleen 脾炎性假瘤继发的出血性胸腔积液
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-07-09 DOI: 10.1016/j.rmedx.2007.05.006
K. Gowrinath , P.T. Sundeep , S. Kumar , G. Sunil Rodrigues , G. Krishnanand , V. Geeta
{"title":"Haemorrhagic pleural effusion secondary to inflammatory pseudotumor of spleen","authors":"K. Gowrinath ,&nbsp;P.T. Sundeep ,&nbsp;S. Kumar ,&nbsp;G. Sunil Rodrigues ,&nbsp;G. Krishnanand ,&nbsp;V. Geeta","doi":"10.1016/j.rmedx.2007.05.006","DOIUrl":"10.1016/j.rmedx.2007.05.006","url":null,"abstract":"<div><p><span>A case of haemorrhagic pleural effusion secondary to </span>inflammatory pseudotumor<span> of spleen in a 47-year-old woman is reported. Clinical presentation was suggestive of malignant aetiology and the diagnosis was possible only with histological examination of resected spleen. At 36 months of follow-up after splenectomy, patient remained well and free from recurrence of pleural effusion. To our knowledge, no similar case has been reported so far.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 124-126"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80219498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pitfalls in diagnosis of pulmonary histoplasmosis 肺组织浆菌病的诊断误区
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-01-16 DOI: 10.1016/j.rmedx.2006.11.005
José Wellington Alves dos Santos, Kelly Ribeiro Neves, Fabiani Palagi Machado, Felipe Schaich, Marcos Ferreira Gazzoni, Tiago Chagas Dalcin, Rosane Beatriz Toso, Luiz Fernando Ximenes Cibin, Lauro Vinícius Schvarcz da Silva, Márcio José Siqueira, Carlos Renato de Melo, Márcia Regina Rosa Scalcon, Loiva Terezinha Ottonelli Oliveira, Roseane Cardoso Marchiori, Marta Pires da Rocha
{"title":"Pitfalls in diagnosis of pulmonary histoplasmosis","authors":"José Wellington Alves dos Santos,&nbsp;Kelly Ribeiro Neves,&nbsp;Fabiani Palagi Machado,&nbsp;Felipe Schaich,&nbsp;Marcos Ferreira Gazzoni,&nbsp;Tiago Chagas Dalcin,&nbsp;Rosane Beatriz Toso,&nbsp;Luiz Fernando Ximenes Cibin,&nbsp;Lauro Vinícius Schvarcz da Silva,&nbsp;Márcio José Siqueira,&nbsp;Carlos Renato de Melo,&nbsp;Márcia Regina Rosa Scalcon,&nbsp;Loiva Terezinha Ottonelli Oliveira,&nbsp;Roseane Cardoso Marchiori,&nbsp;Marta Pires da Rocha","doi":"10.1016/j.rmedx.2006.11.005","DOIUrl":"10.1016/j.rmedx.2006.11.005","url":null,"abstract":"<div><p>Many diagnoses are missed or delayed because pulmonary histoplasmosis is not considered. Therefore, recognition of its different clinical manifestations and differential diagnoses, accompanied by knowledge of the accuracy and limitations of tests for this condition, is essential. Three cases are reported and diagnostic pitfalls are discussed.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 9-13"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81982880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Neuroblastoma of the posterior mediastinum in a 61-year-old woman 61岁女性后纵隔神经母细胞瘤
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-07-23 DOI: 10.1016/j.rmedx.2007.05.005
Aïda Ayadi-Kaddour , Selma Chaabouni , Mona Mlika , Tarak Kilani , Ridha Ben Hassine , Faouzi El Mezni
{"title":"Neuroblastoma of the posterior mediastinum in a 61-year-old woman","authors":"Aïda Ayadi-Kaddour ,&nbsp;Selma Chaabouni ,&nbsp;Mona Mlika ,&nbsp;Tarak Kilani ,&nbsp;Ridha Ben Hassine ,&nbsp;Faouzi El Mezni","doi":"10.1016/j.rmedx.2007.05.005","DOIUrl":"10.1016/j.rmedx.2007.05.005","url":null,"abstract":"<div><p><span>Neuroblastoma is an embryonal tumour that evolves from the </span>neural crest cell<span> and rarely occurs in adults. Adult neuroblastoma is an uncommon malignancy<span> that often pursues an aggressive clinical course, involves multiple sites, and has a poor prognosis. However, the prognosis of mediastinal neuroblastoma has been reported to be better than other neuroblastomas. We report a case of posterior mediastinal neuroblastoma differentiating type in a 61-year-old woman that was symptomatic and completely resected. Diagnosis was based on pathologic and immunohistochemical studies of the surgical specimen. Two years after the operation and without further treatment<span> postoperatively, the patient showed no evidence of recurrence or metastasis.</span></span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 114-116"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84608511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The etiology of nonspecific interstitial pneumonitis in acquired immunodeficiency syndrome 获得性免疫缺陷综合征非特异性间质性肺炎的病因学
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-01-16 DOI: 10.1016/j.rmedx.2006.11.007
Bobbak Vahid, Sajive Aleyas, Paul E. Marik
{"title":"The etiology of nonspecific interstitial pneumonitis in acquired immunodeficiency syndrome","authors":"Bobbak Vahid,&nbsp;Sajive Aleyas,&nbsp;Paul E. Marik","doi":"10.1016/j.rmedx.2006.11.007","DOIUrl":"10.1016/j.rmedx.2006.11.007","url":null,"abstract":"<div><p><span>Interstitial pneumonitis without evidence of </span><em>Pneumocystis jiroveci</em><span> infection has been described in the patients infected with immunodeficiency virus (HIV). Nonspecific interstitial pneumonitis (NSIP) is the most commonly observed pathologic diagnosis.</span></p><p><span>The etiology of NSIP in HIV infected patients is unknown. We retrospectively studied 6 cases of NSIP that were diagnosed with transbronchial biopsies<span>. The etiologic causes of NSIP were evaluated retrospectively by reviewing the inpatient and outpatient charts. The medical records from other institutions were also reviewed when available. We concluded that cocaine abuse, disseminated </span></span><em>Mycobacterium avium</em><span><span> complex infection, cytomegalovirus (CMV) pneumonitis, and </span>immune reconstitution syndrome<span> were the potential causes of NSIP in our patients with HIV infection.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 17-20"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80009241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful treatment of pulmonary mucormycosis with combined medical and surgical approach 内外科联合治疗肺毛霉菌病的成功
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-07-09 DOI: 10.1016/j.rmedx.2007.05.007
Hanadi Abid, Jamel Ammar, Ferdaous Yengui, Aida Ayadi, Faouzi Mezni, Tahar Mestiri, Adel Merghli, Habiba Jilani, Saoussen Hantous, Agnes Hamzaoui
{"title":"Successful treatment of pulmonary mucormycosis with combined medical and surgical approach","authors":"Hanadi Abid,&nbsp;Jamel Ammar,&nbsp;Ferdaous Yengui,&nbsp;Aida Ayadi,&nbsp;Faouzi Mezni,&nbsp;Tahar Mestiri,&nbsp;Adel Merghli,&nbsp;Habiba Jilani,&nbsp;Saoussen Hantous,&nbsp;Agnes Hamzaoui","doi":"10.1016/j.rmedx.2007.05.007","DOIUrl":"10.1016/j.rmedx.2007.05.007","url":null,"abstract":"<div><p><span>Mucormycosis is an invasive opportunistic </span>fungal infection<span> that occurs frequently in diabetic patients with high rate of mortality. We report a new case of pulmonary mucormycosis in a 56-year-old woman with poorly controlled insulin dependent type II diabetes. Initial symptoms were recurrent haemoptysis<span><span> with pulmonary infection unresponsive to broad-spectrum antibiotics. Bronchial biopsy showed hyphae with right-angle branching, typical of mucormycosis. Outcome was favourable after long-term </span>amphotericin B<span> and surgery. Although mucormycosis is rare, it should be considered in high-risk patients because early diagnosis and timely therapy combining antifungal drug, surgery and control of underlying disease appear to improve the prognosis.</span></span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 3","pages":"Pages 120-123"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82228390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Squamous cell lung carcinoma with surrounding pure nonmucinous bronchioloalveolar carcinoma (BAC) 肺癌伴纯非粘液性细支气管肺泡癌(BAC)
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-10-25 DOI: 10.1016/j.rmedx.2007.09.010
Shuichi Yano , Kanako Kobayashi , Yoshiyuki Tokuda , Hirokazu Touge , Toshikazu Ikeda , Shigenori Ishikawa , Hiroyasu Takeyama , Kunio Araki
{"title":"Squamous cell lung carcinoma with surrounding pure nonmucinous bronchioloalveolar carcinoma (BAC)","authors":"Shuichi Yano ,&nbsp;Kanako Kobayashi ,&nbsp;Yoshiyuki Tokuda ,&nbsp;Hirokazu Touge ,&nbsp;Toshikazu Ikeda ,&nbsp;Shigenori Ishikawa ,&nbsp;Hiroyasu Takeyama ,&nbsp;Kunio Araki","doi":"10.1016/j.rmedx.2007.09.010","DOIUrl":"10.1016/j.rmedx.2007.09.010","url":null,"abstract":"<div><p>Bronchioloaveolar cell carcinoma<span> (BAC) was defined by the WHO in 1999 to be a subtype of adenocarcinoma with a pure bronchioloalveolar growth pattern showing no evidence of stromal, vascular, or pleural invasion [Travis WD, Colby TV, Conin B, et al. Bronchioloalveolar carcinoma<span>. In: Sobin LH, editor. WHO international histological classification of tumors, 3rd ed. Copenhagen, Denmark: Springer; 1999. p. 34–8]. Although there were some reports that BAC was presented together with squamous cell carcinoma, this is the first report that it might be transformed from surrounding pure nonmucinous BAC. Physicians should be aware that pure BAC could transform to squamous cell carcinoma, and that such cases might not respond to gefitinib.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 4","pages":"Pages 175-177"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.09.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80588587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Lung metastasis in a patient with lymphangioleiomyomatosis 淋巴管平滑肌瘤病患者肺转移1例
Respiratory Medicine Extra Pub Date : 2007-01-01 Epub Date: 2007-02-06 DOI: 10.1016/j.rmedx.2007.01.001
Hironori Masuko , Yoichi Anami , Hiroaki Satoh , Morio Ohtsuka
{"title":"Lung metastasis in a patient with lymphangioleiomyomatosis","authors":"Hironori Masuko ,&nbsp;Yoichi Anami ,&nbsp;Hiroaki Satoh ,&nbsp;Morio Ohtsuka","doi":"10.1016/j.rmedx.2007.01.001","DOIUrl":"10.1016/j.rmedx.2007.01.001","url":null,"abstract":"<div><p><span><span>Pulmonary lymphangioleiomyomatosis (PLAM) is a rare disease, which occurs mainly in women of reproductive age, and occasionally in </span>postmenopausal women<span>. We report a small pulmonary metastatic uterine body cancer in a 63-year-old female patient with PLAM. In patients<span> with PLAM, differential diagnostic consideration is proliferation of pneumocytes and PLAM cells in addition to benign tumor<span> as well as primary and metastatic lung cancer. We emphasize difficulties in the clinical and roentgenological diagnosis<span> in this kind of combined pathology. Even if the association we describe is probably fortuitous, not only a primary but also a metastatic tumor is suspected when a </span></span></span></span></span>solitary pulmonary nodule is detected in a patient that has been previously treated for carcinoma in any organs.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":"3 1","pages":"Pages 36-38"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88964876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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