[罕见全身性疾病肺部受累-第1部分:血液学、免疫学、组织细胞学、肝脏学疾病和慢性炎症性肠病的肺部表现]。

IF 0.6
Radiologie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-09-04 DOI:10.1007/s00117-025-01497-z
Jasmin Happe, Thomas Frauenfelder
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引用次数: 0

摘要

背景:肺表现广泛发生于多系统疾病,可以多种方式影响肺实质、气道、血管系统和呼吸肌肉组织。特别是,严重和可能危及生命的肺部并发症是免疫和血液系统疾病等全身性疾病的主要关注点。近年来,由于西方工业化国家生活方式的影响,血液病、胃肠病和肝病的发病率越来越高,这凸显了这些疾病的临床相关性以及对其肺部表现的全面了解的必要性。额外的诊断和治疗挑战来自药物性肺损伤和治疗的晚期并发症,如干细胞移植后的并发症。结果:高分辨率计算机断层扫描(HRCT)在这方面起着关键作用。它允许早期发现特征性肺部异常,从而形成及时治疗干预的基础。结论:因此,有针对性的HRCT成像对于改善临床结果和保持患者的生活质量至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Pulmonary involvement in rare systemic diseases-part 1 : Pulmonary manifestations in the context of hematological, immunological, histiocytic, and hepatological diseases and chronic inflammatory bowel disease].

Background: Pulmonary manifestations occur in a wide range of multisystemic diseases and can affect the lung parenchyma, airways, vascular system, and respiratory musculature in various ways. In particular, severe and potentially life-threatening pulmonary complications are of major concern in systemic conditions such as immunological and hematological disorders. The increasing incidence of hematological, gastrointestinal, and hepatological diseases in recent years-driven in part by lifestyle factors in Western industrialized nations-highlights the growing clinical relevance of these entities and the need for a comprehensive understanding of their pulmonary manifestations. Additional diagnostic and therapeutic challenges arise from drug-induced lung injury and late complications of therapy, such as those following stem cell transplantation.

Results: High-resolution computed tomography (HRCT) plays a pivotal role in this context. It allows for the early detection of characteristic pulmonary abnormalities and thus forms the basis for timely therapeutic intervention.

Conclusion: Targeted HRCT imaging is therefore crucial to improving clinical outcomes and preserving the quality of life in affected patients.

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