外源性過敏性肺泡炎(EAA),是易感者反復吸入多種具有抗原性的有機粉塵及低分子化學物質所引起的一組臨床綜合征[1],病變主要累及兩肺遠端的細支氣管、肺泡及肺間質,臨床上少見。本文報道1例接觸鴿子抗原發生EAA的患者,結合文獻復習,對其病因、診斷和治療討論如下。
引用本文:
李堅,孫麗萍,張德厚. 外源性過敏性肺泡炎一例報告并文獻復習. 中國呼吸與危重監護雜志, 2007, 6(2): 137-138. doi:
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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-.