温德米尔夫人综合征:一个有趣的临床和放射学表现

Farid Khan, Wajih Ali, Muhammad Imtiaz, U. Ullah
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引用次数: 0

摘要

温德米尔夫人综合征是一种罕见的肺部疾病,以慢性咳嗽抑制和呼吸困难的老年白人女性为特征。它通常与鸟分枝杆菌复合体(MAC)物种有关。一位84岁的女性因长期无生产性咳嗽和间歇性呼吸困难而被评估。胸部计算机断层扫描显示右上叶密度和分散的结节性囊性支气管扩张。活检为恶性肿瘤阴性;然而,细支气管肺泡灌洗研究显示存在MAC。患者接受了12个月的阿奇霉素、利福平和乙胺丁醇治疗,症状得到缓解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lady Windermere Syndrome: An Interesting Clinical and Radiological Presentation
Lady Windermere Syndrome is an uncommon pulmonary disease characte-ristically observed in elderly white females with chronic cough suppression and dyspnea. It is classically associated with Mycobacterium avium complex (MAC) species. An 84-year-old female was evaluated for longstanding non-productive cough and intermittent dyspnea. A chest computed tomography scan revealed densities in the right upper lobe and scattered nodular-cystic bronchiectasis. Biopsy was negative for malignancy; however, bronchioalveolar lavage studies showed presence of MAC. Patient was treated with a 12-month course of azithromycin, rifampin and ethambutol resulting in resolution of her symptoms.
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