The 472nd case: dyspnea, pulmonary shadows, abnormalities of whole blood cells
10.3760/cma.j.issn.0578-1426.2019.12.015
- VernacularTitle: 第472例——呼吸困难、肺部阴影、血象三系异常
- Author:
Huan LIN
1
;
Yuchao DONG
1
;
Yang YAO
1
;
Qinying SUN
1
;
Miaoxia HE
2
;
Xinling BI
3
;
Chong BAI
1
Author Information
1. Department of Respiratory and Critical Care Medicine, Changhai Hospital, Naval Military Medical University, Shanghai 200433, China
2. Department of Pathology, Changhai Hospital, Naval Military Medical University, Shanghai 200433, China
3. Department of Dermatology, Changhai Hospital, Naval Military Medical University, Shanghai 200433, China
- Publication Type:Journal Article
- Keywords:
Lung diseases, interstitial;
Sweet'
s syndrome;
Myelodysplastic syndrome
- From:
Chinese Journal of Internal Medicine
2019;58(12):933-936
- CountryChina
- Language:Chinese
-
Abstract:
A 54-year-old man was admitted to respiratory department with chief complaints of recurrent cough and dyspnea. Chest imaging showed multiple patchy shadows and interstitial changes. Evidence of infectious diseases was not definite, and antibiotic treatments were not effective. In the meantime, myelodysplasia syndrome was diagnosed with pancytopenia. The pathologic findings of transbronchoscopic lung biopsyshowed chronic inflammatory interstitial changes, suggesting a clinical diagnosis of organizing pneumonia. After glucocorticoids treatment, his condition aggravated. The second percutaneous lung biopsy showed the infiltration of a large number of neutrophils. Therefore, the final diagnosis of myelodysplasia syndrome with Sweet syndrome was made. Then glucocorticoids and supportive treatment were given This case may improve physicians' understanding of myelodysplasia syndrome complicated with Sweet syndrome.
