外源性过敏性肺泡炎(EAA),是易感者反复吸入多种具有抗原性的有机粉尘及低分子化学物质所引起的一组临床综合征[1],病变主要累及两肺远端的细支气管、肺泡及肺间质,临床上少见。本文报道1例接触鸽子抗原发生EAA的患者,结合文献复习,对其病因、诊断和治疗讨论如下。
Citation:
李坚,孙丽萍,张德厚. 外源性过敏性肺泡炎一例报告并文献复习. Chinese Journal of Respiratory and Critical Care Medicine, 2007, 6(2): 137-138. doi:
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Bourke SJ,Dalphin JC,Boyd G,et al.Hypersensitivity Pneumonitis:current concepts.Eur Respir J,2001,18:S81-S92.
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Matar LD,McAdams HP,Sporn TA.Hypersensitivity pneumonitis.AJR Am J Roentgenol,2000,174:1061-1066.
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Selmen M,Chapela R,Raghu G.Hypersensitivity pneumonitis:Clinical manifestations,pathogenesis,diagnosis and therapeutic strategies.Sem Resp Crit Care Med,1993,14:353-364.
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McSharry C,Anderson K,Boyd G.A review of antigen diversity causing lung disease among pigeon breeder.Clin Exp Allergy,2000,30:1221-1229.
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Kokkarinen JI,Tukjainen HO,Terho EO.Effect of corticosteroid treatment on the recovery of pulmonary funetion in farmer’s lung.Am Rev Respir Dis,1992,145:3-.
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- 1. Bourke SJ,Dalphin JC,Boyd G,et al.Hypersensitivity Pneumonitis:current concepts.Eur Respir J,2001,18:S81-S92.
- 2. Matar LD,McAdams HP,Sporn TA.Hypersensitivity pneumonitis.AJR Am J Roentgenol,2000,174:1061-1066.
- 3. Beckett W,Kallay M,Sood A,et al.Hypersensitivity pneumonitis associated with environmental mycobacteria.Environ Health Perspect,2005,113:767-770.
- 4. Selmen M,Chapela R,Raghu G.Hypersensitivity pneumonitis:Clinical manifestations,pathogenesis,diagnosis and therapeutic strategies.Sem Resp Crit Care Med,1993,14:353-364.
- 5. McSharry C,Anderson K,Boyd G.A review of antigen diversity causing lung disease among pigeon breeder.Clin Exp Allergy,2000,30:1221-1229.
- 6. Kokkarinen JI,Tukjainen HO,Terho EO.Effect of corticosteroid treatment on the recovery of pulmonary funetion in farmer’s lung.Am Rev Respir Dis,1992,145:3-.