张杰根, 张钗, 王美玲, 戴富林. 复发性多软骨炎误诊哮喘2例报告及文献复习[J]. 解放军医学院学报, 2012, 33(4): 412-414. DOI: CNKI:11-3275/R.20111025.0834.001
引用本文: 张杰根, 张钗, 王美玲, 戴富林. 复发性多软骨炎误诊哮喘2例报告及文献复习[J]. 解放军医学院学报, 2012, 33(4): 412-414. DOI: CNKI:11-3275/R.20111025.0834.001
ZHANG Jie-gen, ZHANG Chai, WANG Mei-ling, DAI Fu-lin. Recurrent polychondritis misdiagnosed as asthma:A report of 2 cases and review of the literature[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(4): 412-414. DOI: CNKI:11-3275/R.20111025.0834.001
Citation: ZHANG Jie-gen, ZHANG Chai, WANG Mei-ling, DAI Fu-lin. Recurrent polychondritis misdiagnosed as asthma:A report of 2 cases and review of the literature[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(4): 412-414. DOI: CNKI:11-3275/R.20111025.0834.001

复发性多软骨炎误诊哮喘2例报告及文献复习

Recurrent polychondritis misdiagnosed as asthma:A report of 2 cases and review of the literature

  • 摘要: 目的 分析2例误诊为哮喘的复发性多软骨炎的临床特征和诊治经过。 方法 通过对误诊为支气管哮喘的2例复发性多软骨炎患者临床资料进行分析,结合文献复习,对该病的流行病学、诊断及治疗进行总结。 结果 2例复发性多软骨炎临床主要表现为哮喘样症状,通过胸部CT,肺功能,支气管镜或组织活检明确诊断,给予糖皮质激素及免疫抑制剂治疗症状好转。 结论 复发性多软骨炎可以哮喘为主要表现症状,当哮喘经正规治疗无效者要注意排除本病。

     

    Abstract: Objective To analyze the clinical features,diagnosis and treatment of recurrent polychondritis(RP) misdiagnosed as asthma in 2 cases. Methods Clinical data about 2 cases of RP misdiagnosed as asthma were analyzed,and its epidemiology,diagnosis and treatment were summarized. Results RP manifested mainly as asthma and its diagnosis was established according to the results of thoracic CT,lung function,brochoscopy or biopsy.The symptoms of RE were improved after treatment with glucocorticoid hormone and immunosuppressant. Conclusion RP is mainly manifested as asthma and should be excluded if asthma fails to respond to regular treatment.

     

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