哮喘联盟

   摘要
   一被诊断为哮喘的3岁男孩出现严重气道阻塞。该患儿病情已经好转但严重气道阻塞仍反复发作。临床检查，其伴有气管咳嗽和单声道喘息。支气管镜检查的影像显示在气管远端有一大病灶。该病灶已经手术摘除。细胞组织学显示了炎性肌纤维母细胞瘤的特征。手术切除后无复发病灶。
 

（林江涛 审校）
BMJ Case Rep. 2013 Jul 4;2013. pii: bcr2013010232. doi: 10.1136/bcr-2013-010232.

 

Intratracheal inflammatory myofibroblastic tumour mimicking severe acute asthma.
 

Goussard P, Gie R, Janson J, Schubert P.
 

Abstract
A 3-year-old boy presented with severe airway obstruction which was diagnosed as asthma. He improved but had repeated episodes of severe airway obstruction. On clinical examination, he had a tracheal cough and monophonic wheezing. Imaging revealed a large lesion in the distal part of the trachea which was confirmed by bronchoscopy. The lesion was surgically removed. Histology revealed features characteristic of an inflammatory myofibroblastic tumour. Following the resection there is no recurrence of the lesion.
 

BMJ Case Rep. 2013 Jul 4;2013. pii: bcr2013010232. doi: 10.1136/bcr-2013-010232.