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Pulmonary manifestation in churg-strauss syndrome: clinical case churg-strauss综合征的肺部表现:临床一例
Pub Date : 2018-05-03 DOI: 10.15406/JLPRR.2018.05.00166
AR 2018Babaeva, EV 1Kalinina, KS Solodenkova
Systemic connective tissue disorders still remain one of the great diagnostic challenges in real practice because they often begin with nonspecific symptoms and signs and progresses slowly over months and even years. Vasculitisrefers to a heterogeneous group of disorders that is characterized by inflammatory lesion of blood vessels. Depending on size, distribution, and severity of the affected vessels, vasculitis can result in clinical syndromes that vary in severity from a minor self-limited rush to a life-threatening multisystem disorder. Current clinical classification of primary vasculitides is based on clinicopathologic features: they can be separated by the size of affected vessels (large, medium, small).1 Small-vessel vasculitides are associated with antineutrophil cytoplasmic antibodies (ANCA), which can be detected in plasma.2,3 One of the common clinical types of ANCA-associated vasculitis is Churg-Strauss syndrome (CSS) reported at first time by Churg and Strauss in 1951. Asthma, eosinophilia, and systemic vasculitis are the hallmarks of the ChurgStrauss syndrome. The Chapel Hill Consensus Conference defined CSS as a disorder characterized by eosinophil-rich, granulomatous inflammation of the respiratory tract and necrotizing vascilitis of smallto medium vessels with asthma and eosinophilia.1,4 Since lung involvement is a frequent clinical feature of ANCA-associated vasculitides the differential diagnosis should be made to verify systemic vasculitis in patients with pulmonary disorder.3,5 General clinical clues suggesting the presence of systemic vasculitis are constitutional symptoms, signs of inflammation, subacute onset, joint pain, multisystem disease evident. Establishing the diagnosis of vasculitis requires confirmation by laboratory test, biopsy, and/or serology. In term to demonstrate the typical natural history of ANCAassociated vasculitis and diagnostic difficulties in real clinical practice we present observed clinical case.
全身性结缔组织疾病仍然是一个巨大的诊断挑战,在实际实践中,因为他们往往开始与非特异性的症状和体征和进展缓慢数月甚至数年。血管炎是指以血管炎性病变为特征的一组异质性疾病。根据受影响血管的大小、分布和严重程度,血管炎可导致不同程度的临床综合征,从轻微的自限性疾患到危及生命的多系统疾病。目前原发性血管增生的临床分类是基于临床病理特征:它们可以通过受影响血管的大小(大、中、小)来区分小血管血管增生与抗中性粒细胞胞浆抗体(ANCA)有关,可在血浆中检测到。2,3 Churg-Strauss综合征(CSS)是anca相关血管炎的常见临床类型之一,于1951年由Churg和Strauss首次报道。哮喘、嗜酸性粒细胞增多症和全身性血管炎是ChurgStrauss综合征的特征。Chapel Hill共识会议将CSS定义为一种以富含嗜酸性粒细胞的呼吸道肉芽肿性炎症和中小型血管坏死性脉管炎为特征的疾病,并伴有哮喘和嗜酸性粒细胞增多症。1,4由于肺部受累是anca相关血管炎的常见临床特征,因此应鉴别诊断肺部疾病患者是否存在全身性血管炎。提示全身性血管炎的一般临床线索为体质症状、炎症体征、亚急性发作、关节疼痛、多系统病变明显。确定血管炎的诊断需要通过实验室检查、活检和/或血清学进行确认。为了说明anca相关性血管炎的典型自然病史和在实际临床实践中的诊断困难,我们提出了观察到的临床病例。
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引用次数: 0
Pulmonary embolism associated with the act of defecation. “The bed pan syndrome” 与排便行为有关的肺栓塞。“便盆综合症”
Pub Date : 2018-04-24 DOI: 10.15406/JLPRR.2018.05.00165
H. Daisley, A. Rampersad, D. Meyers
Deep vein thrombosis and pulmonary embolism are common events in a clinical setting. These events often lead to morbidity and mortality and although preventative measures have been instituted, these events occur regularly. In autopsy based studies pulmonary embolism accounts for 1.25% to 10.88% of all cause of death.1,2 In most of these deaths, deep vein thrombosis might have heralded the fatal event of pulmonary embolism which clinically presents with swelling and discomfort of limbs, chest discomfort and breathing difficulties. Pulmonary embolism associated with the act of defecation is seldom reported in the literature.3 This mode of presentation of pulmonary embolism is often fatal and physicians should be aware of this clinical sign of pulmonary embolism.
深静脉血栓形成和肺栓塞是临床常见的事件。这些事件往往导致发病和死亡,虽然采取了预防措施,但这些事件经常发生。在基于尸检的研究中,肺栓塞占所有死因的1.25%至10.88%。1,2在大多数这些死亡中,深静脉血栓形成可能预示着肺栓塞的致命事件,肺栓塞在临床上表现为四肢肿胀和不适,胸部不适和呼吸困难。与排便行为相关的肺栓塞在文献中很少报道这种肺栓塞的表现模式往往是致命的,医生应该意识到这种肺栓塞的临床体征。
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引用次数: 0
Efficacy of bosentan in the treatment of pulmonary hypertension; a prospective study focusing on safety and efficacy in patients with COPD 波生坦治疗肺动脉高压的疗效观察一项关注COPD患者安全性和有效性的前瞻性研究
Pub Date : 2018-04-23 DOI: 10.15406/JLPRR.2018.05.00164
N. Hussain, Faisal FaiyazZuberi, K. Rehana, S. Ashraf, A. Jamal, ShafiKhawar, Talat Mehmood, N. Maheshwary
The chronic obstructive pulmonary disease (COPD) usually results in pulmonary hypertension (PH) and about 40% of patients with COPD suffer from pulmonary hypertension during the course of their illness, that results in worsened prognosis of the disease.1,2 Some studies have defined PH as a PAP >25mm Hg.3,4 Most patients of COPD develop mild to moderate PH with only slight degree of elevation in PAP.5 PH is an essential prognostic factor in determining the course of illness in a patient suffering from COPD.5,6 In fact, some studies suggest that the severity of elevated levels of PAP is a more reliable predictor of prognosis in COPD patients in comparison to FEV1, hypoxemia or hypercapnia.6,7 It has been found that COPD patients who have PAP of >18mm Hg, are more often admitted to hospital due to exacerbations of their condition as compared to those having a mean PAP of <18mm Hg.5 The exacerbations of COPD in patients with PH are responsible for an increase in mortality and morbidity.8
慢性阻塞性肺疾病(COPD)通常导致肺动脉高压(PH),约40%的COPD患者在病程中出现肺动脉高压,导致疾病预后恶化。1,2一些研究将PH定义为PAP >25mm hg .3,4大多数COPD患者发展为轻度至中度PH, PAP仅轻微升高。5 PH是决定COPD患者病程的重要预后因素。5,6事实上,一些研究表明,与FEV1、低氧血症或高碳酸血症相比,PAP升高的严重程度是COPD患者预后的更可靠预测因素。6,7研究发现,与平均PAP <18mm Hg的COPD患者相比,PAP >18mm Hg的COPD患者更常因病情加重而入院。5 PH患者的COPD加重是死亡率和发病率增加的原因
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引用次数: 3
Promising shorter and more effective treatment regimens for drug-resistant tuberculosis: recent research found 最近的研究发现,有望为耐药结核病提供更短、更有效的治疗方案
Pub Date : 2018-03-30 DOI: 10.15406/JLPRR.2018.05.00163
A. Cheepsattayakorn, R. Cheepsattayakorn
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引用次数: 1
The functional status of neutrophils in patients with bronchial asthma, chronic obstructive pulmonary disease, bronchial asthma with chronic obstructive pulmonary disease, and community-acquired pneumonia 支气管哮喘、慢性阻塞性肺疾病、支气管哮喘合并慢性阻塞性肺疾病和社区获得性肺炎患者中性粒细胞的功能状态
Pub Date : 2018-03-09 DOI: 10.15406/JLPRR.2018.05.00162
Fedoseev Gb, Trofimov Vi, Negrutsa Kv, Timchik Vg, Golubeva Vi, Aleks, rin Va, Razumovskaya Ts
Bronchial asthma (BA), chronic obstructive pulmonary disease (COPD), BA+COPD, and community-acquired pneumonia (CAP) are very common conditions. The main pathogenetic mechanism in the abovementioned conditions is inflammation, which is heterogeneous in both its etiology and pathogenesis in patients with these disorders.1 Neutrophils ensure and support body homeostasis and play a pivotal role in the defense against infections.2,3 One of the main causes of a chronic inflammatory process can be neutrophil dysfunction. Reacting to the various pathogenetic factors, neutrophils release active oxygen metabolites, proteolytic enzymes, etc. into the surrounding environment, thus ‘cleaning up’ the inflammatory site but concurrently destroying its own tissues.
支气管哮喘(BA)、慢性阻塞性肺疾病(COPD)、BA+COPD和社区获得性肺炎(CAP)是非常常见的疾病。上述疾病的主要发病机制是炎症,而炎症在这些疾病患者的病因和发病机制上都是异质的中性粒细胞确保和支持身体稳态,并在防御感染中发挥关键作用。慢性炎症过程的主要原因之一可能是中性粒细胞功能障碍。中性粒细胞对各种致病因素作出反应,将活性氧代谢物、蛋白水解酶等释放到周围环境中,从而“清理”炎症部位,同时破坏自身组织。
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引用次数: 2
Lung cancer: the global killer 肺癌:全球杀手
Pub Date : 2018-03-08 DOI: 10.15406/JLPRR.2018.05.00161
J. Shrivastava, A. Shrivastava
Lung cancer, also known as lung carcinoma,4 is a malignant lung tumor characterized by uncontrolled cell growth in tissues of the lung.5 This growth can spread beyond the lung by the process of metastasis into nearby tissue or other parts of the body.6 Incidence and mortality attributed to lung cancer has risen steadily since the 1930s, predominantly due to the popularity of cigarette smoking.7,8 Sir Richard Doll and Austin Hill’s landmark article in 1950 described mounting evidence that lung cancer was associated with cigarette smoking.7,9 Number and duration of smoking are directly proportional to incidence of lung cancer.
肺癌(Lung cancer),又称肺癌(Lung carcinoma),是一种以肺组织中细胞生长不受控制为特征的恶性肺肿瘤这种生长可以通过转移到附近的组织或身体的其他部位而扩散到肺之外自20世纪30年代以来,肺癌的发病率和死亡率一直在稳步上升,主要原因是吸烟的普及。理查德·多尔爵士和奥斯汀·希尔在1950年发表了一篇具有里程碑意义的文章,描述了越来越多的证据表明肺癌与吸烟有关。吸烟次数和吸烟时间与肺癌发病率成正比。
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引用次数: 1
The renin angiotensin system in liver and lung: impact and therapeutic potential in organ fibrosis. 肝和肺肾素血管紧张素系统:对器官纤维化的影响和治疗潜力。
Pub Date : 2018-02-27 DOI: 10.15406/JLPRR.2018.05.00160
A. Abdul-Hafez, Tarek Mohamed, H. Omar, Mohamed A Shemis, B. Uhal
Liver and lung fibrosis are two main organ diseases that are of particular importance in both Egypt and the US. Hepatitis C Virus "HCV" infection and idiopathic pulmonary fibrosis (IPF) are fibrotic diseases of the liver and lung respectively. The liver and lung are reported in literature to share many immune/inflammatory responses to damage through the lung-liver axis. Most importantly, HCV was shown to enhance the development of IPF and is considered one of the risk factors for IPF. The renin angiotensin system (RAS) plays a critical role in the fibrogenesis and inflammation damage of many organs including liver and lung. The relatively recently identified component of RAS, angiotensin converting enzyme-2 (ACE-2), has shown a promising therapeutic potential in models of liver and pulmonary fibrosis. This article reviews the role of RAS in organ fibrosis with focus on role of ACE-2 in fibrotic diseases of the liver and the lung.
肝和肺纤维化是两种主要的器官疾病,在埃及和美国都特别重要。丙肝病毒(HCV)感染和特发性肺纤维化(IPF)分别是肝脏和肺部的纤维化疾病。据文献报道,肝和肺通过肺-肝轴对损伤具有许多相同的免疫/炎症反应。最重要的是,HCV被证明可促进IPF的发展,并被认为是IPF的危险因素之一。肾素血管紧张素系统(RAS)在包括肝和肺在内的许多器官的纤维化和炎症损伤中起着关键作用。最近发现的RAS成分,血管紧张素转换酶-2 (ACE-2),在肝和肺纤维化模型中显示出有希望的治疗潜力。本文综述了RAS在器官纤维化中的作用,重点介绍了ACE-2在肝和肺纤维化疾病中的作用。
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引用次数: 27
Status of Primitive Bronchopulmonary Cancers in the Sylvanus Olympio Chu Pneumology Sevice (Togo) 多哥西尔瓦努斯·奥林匹奥·楚肺病服务中心原始支气管肺癌的现状
Pub Date : 2018-02-19 DOI: 10.15406/JLPRR.2018.05.00157
Assao Neino Mm, S. Adjoh, Gagara Ima, A. Taş, Ouedraogo Ar, Okemba Okombi Fh, Fiogbe Aa, S. Alfazazi, M. Bako, M. Da, O. Tidjani
Bronchopulmonary cancers (CBP) are malignant tumors developed at the expense of bronchial and/or parenchymal structures. They may be secondary or primitive. The latter are the leading cause of cancer mortality in developed countries. Several studies show that this cancer will be the leading cause of cancer death in women in France around 2020 [1]. In Africa, primary bronchial cancer appears to be a rare disease, unlike the developed countries, where it is a real public health problem [2]. The positive diagnosis of primary bronchopulmonary cancer is based on the association of: an evocative, nonspecific clinical symptomatology often neglected by the patient, suspicious thoracic imaging and histological evidence obtained by biopsy (bronchus, puncture transthoracic, pleural and lymph node biopsy) [3]. Since 1960, bronchial fibroscopy has been practiced in industrialized countries [4]. In developing countries, the financial constraints inherent in this technique mean that few respiratory services have the necessary equipment to perform bronchial endoscopies [5]. In Togo, there are no thoracic surgeons and 52 cases of bronchopulmonary cancers were observed from 1982 to 1987 at CHU Sylvanus Olympio in Lomé on 275 bronchial fibroscopies, ie 18.9% [6]. This led us to carry out this work, the aim of which is to take stock of primary bronchopulmonary cancers at the CHU Sylvanus Olympio, in the Infectious Diseases and Pneumology Department (SMIP).
支气管肺癌(CBP)是一种以支气管和/或实质结构为代价发展的恶性肿瘤。它们可能是次生的,也可能是原始的。后者是发达国家癌症死亡的主要原因。多项研究表明,到2020年左右,这种癌症将成为法国女性癌症死亡的主要原因[1]。在非洲,原发性支气管癌似乎是一种罕见的疾病,而在发达国家,它是一个真正的公共卫生问题[2]。原发性支气管肺癌的阳性诊断是基于以下因素的关联:经常被患者忽视的令人联想的非特异性临床症状、可疑的胸部影像学和活检(支气管、穿刺经胸、胸膜和淋巴结活检)获得的组织学证据[3]。自1960年以来,支气管纤维镜检查在工业化国家开始实施[4]。在发展中国家,该技术固有的财政限制意味着很少有呼吸服务机构拥有进行支气管内窥镜检查的必要设备[5]。在多哥,没有胸外科医生,1982 - 1987年在lomoire的CHU Sylvanus Olympio医院进行支气管纤维镜检查275例,共发现支气管肺癌52例,占18.9%[6]。这使我们开展了这项工作,其目的是对传染病和肺病科(SMIP)的CHU Sylvanus Olympio的原发性支气管肺癌进行评估。
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引用次数: 1
A Case of ARDS Due to Adenoviral Pneumonia 腺病毒性肺炎致急性呼吸窘迫综合征1例
Pub Date : 2018-02-01 DOI: 10.15406/JLPRR.2018.05.00158
Fatma Irem Yesiler, M. A. Izgi, Akif Demirel, S. Ozdemir
The acute respiratory distress syndrome ARDS is characterized by a non cardiogenic pulmonary edema with bilateral chest radiograph opacities and hypoxemia refractory to oxygen therapy Adenovirus is a frequent cause of mild self limiting upper respiratory tract infection gastroenteritis and conjunctivitis in infants and young children Fatal infections severe pneumonia progressing to respiratory failure septic shock and or encephalitis are rare among immunocompetent adults We report a case of twenty two years old pregnant woman who had severe adenovirus pneumonia She presented with sudden onset of respiratory distress and progressed rapidly to respiratory failure She was successfully recovered with supportive measures
急性呼吸窘迫综合征(ARDS)以非心源性肺水肿伴双侧胸片混浊和低氧血症为特征,氧疗难治性腺病毒是婴儿和幼儿轻度自限性上呼吸道感染的常见原因,胃肠炎和结膜炎见于婴幼儿,致死性感染,严重肺炎进展为呼吸衰竭,感染性休克和/或脑炎在免疫功能正常的成人中是罕见的22岁孕妇,患有严重腺病毒肺炎,表现为突发性呼吸窘迫,并迅速发展为呼吸衰竭,经支持措施成功恢复
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引用次数: 0
Carboxymethyl Guar Gum Nanoscaffold as Matrix for Cell Growth In Vitro 羧甲基瓜尔胶纳米支架作为细胞体外生长的基质
Pub Date : 2018-01-19 DOI: 10.15406/JLPRR.2018.05.00156
S. Mitra, Nandita Ghosh, E. Banerjee
Submit Manuscript | http://medcraveonline.com Abbreviations: CMGG: Carboxymethyl Guar Gum; BMMscs: Bone Marrow Derived Mesenchymal Stem Cells; DMEM: Dulbecco’s Modified Eagle Medium; FBS: Foetal Bovine Serum; Pen-Strep: Penicillin-Streptomycin; LPS: Lipopolysaccharide; Cocl2.6H2O: Cobalt Chloride Hexahydrate; PBS: Phosphate Buffered Saline; EDTA: Ethylene Diamine Tetra Acetic Acid; MTT: 3-(4, 5-Dimethylthiazol-2-Yl)-2, 5-Diphenyltetrazolium Bromide; UV: Ultraviolet Light; Hcl: Hydrochloric Acid
投稿| http://medcraveonline.com缩写:CMGG:羧甲基瓜尔胶;骨髓间充质干细胞;DMEM: Dulbecco 's Modified Eagle Medium;胎牛血清;Pen-Strep: Penicillin-Streptomycin;有限合伙人:脂多糖;Cocl2.6H2O:六水氯化钴;PBS:磷酸盐缓冲盐水;乙二胺四乙酸;MTT: 3-(4,5 -二甲基噻唑-2-基)- 2,5 -二苯四唑溴;UV:紫外线;Hcl:盐酸
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引用次数: 11
期刊
Journal of lung, pulmonary & respiratory research
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