哮喘联盟

   摘要
   一例50岁女性，表现为进行性呼吸困难、咳嗽和鼻塞。检查结果显示，对树木、尘螨的皮肤试验（lgE）呈阳性反应，肺量测定显示早期声门闭合，CT显示鼻窦混浊。可疑诊断包括过敏性和非过敏性鼻炎、哮喘、阿司匹林加重性呼吸系统疾病、声带功能紊乱、慢性鼻窦炎继发胃食管反流疾病以及系统性炎症和免疫疾病，其中包括血管炎。因症状加剧需进一步检查，组织学检查得出了意外的诊断结果。
 

(林江涛 审校)
 Allergy Asthma Proc. 2013 Mar;34(2):188-92. doi: 10.2500/aap.2013.34.3637.

 

A 50-year old woman with nasal congestion, cough, and dyspnea.
 

Ross JA, McCune WJ, Sanders G.

Source
Division of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michagan, USA.

Abstract
We present a 50-year-old woman with progressive dyspnea, cough, and nasal congestion. Evaluation revealed positive skin tests (IgE) to trees and dust mites, early glottic closure on spirometry, and sinus opacities on CT. Diagnostic considerations included allergic and nonallergic rhinitis, asthma, aspirin-exacerbated respiratory disease, vocal cord dysfunction, chronic sinusitis secondary to gastroesophageal reflux disease, and systemic inflammatory and immunologic diseases, including vasculitis. Progresson of her symptoms prompted further investigation, and a biopsy yielded an unexpected diagnosis.

Allergy Asthma Proc. 2013 Mar;34(2):188-92. doi: 10.2500/aap.2013.34.3637.