{"title":"不管是不是结核病……","authors":"R. Hughes, T. Felton, M. Munavvar, J. Howells","doi":"10.1016/j.rmedx.2005.10.002","DOIUrl":null,"url":null,"abstract":"<div><p>Allergic Bronchopulmonary Aspergillosis (ABPA) can cause dyspnoea in patients without a past history of asthma and with a normal eosinophil count.</p><p>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. <em>J Allergy Clin Immunol</em> 1988;<strong>81</strong><span>: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. </span><em>J Allergy Clin Immunol</em> 1981;<strong>68</strong>: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.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2005.10.002","citationCount":"0","resultStr":"{\"title\":\"TB or not TB…\",\"authors\":\"R. Hughes, T. Felton, M. Munavvar, J. Howells\",\"doi\":\"10.1016/j.rmedx.2005.10.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Allergic Bronchopulmonary Aspergillosis (ABPA) can cause dyspnoea in patients without a past history of asthma and with a normal eosinophil count.</p><p>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. <em>J Allergy Clin Immunol</em> 1988;<strong>81</strong><span>: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. </span><em>J Allergy Clin Immunol</em> 1981;<strong>68</strong>: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.</p></div>\",\"PeriodicalId\":101082,\"journal\":{\"name\":\"Respiratory Medicine Extra\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2006-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.rmedx.2005.10.002\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Respiratory Medicine Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1744904905000470\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respiratory Medicine Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1744904905000470","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
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。
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.
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