Pulmonary Fibrosis in Generalized Scleroderma: Report of a Case and Review of the Literature

作者: LOUIS D. HAYMAN , ROBERT E. HUNT

DOI: 10.1378/CHEST.21.6.691

关键词: PathologyPulmonary fibrosisMedicineLungGeneralized sclerodermaSclerodermaCystic ChangePathologicalAlveolar WallConnective tissue

摘要: A case of generalized progressive scleroderma, with roentgenologically visualized pulmonary involvement, is reported, and the essential features such cases that have been reported in English literature are tabulated discussed. Scleroderma lungs may clinically antedate development typical skin changes present picture chronic disease. This occurred approximately one-fourth reviewed. Roentgenograms a net-like interstitial fibrosis lower two-thirds lungs, sometimes associated multiple varying sized cysts. The fundamental pathological consist diffuse alveolar wall sclerosis obliteration, cystic changes, some cases, vascular narrowing due to involvement supporting connective tissue vessel walls. In obscure lung, scleroderma should be kept mind. para-aminobenzoic acid used treatment our was furnished by Wyeth, Incorporated, Philadelphia, Pennsylvania.

参考文章(16)
Margaret Bevans, Pathology of Scleroderma, with Special Reference to the Changes in the Gastrointestinal Tract. American Journal of Pathology. ,vol. 21, pp. 25- 51 ,(1945)
Therapeutic possibilities of para-aminobenzoic acid. Annals of Internal Medicine. ,vol. 30, pp. 1188- 1211 ,(1949) , 10.7326/0003-4819-30-6-1188
R.E. Church, A.R.P. Ellis, CYSTIC PULMONARY FIBROSIS IN GENERALISED SCLERODERMA REPORT OF TWO CASES The Lancet. ,vol. 255, pp. 392- ,(1950) , 10.1016/S0140-6736(50)90312-6
John R. Murphy, SCLERODERMA WITH PULMONARY FIBROSIS JAMA. ,vol. 116, pp. 499- 501 ,(1941) , 10.1001/JAMA.1941.62820060002010A
SOMA WEISS, SCLERODERMA HEART DISEASE Archives of Internal Medicine. ,vol. 71, pp. 749- 776 ,(1943) , 10.1001/ARCHINTE.1943.00210060010002
GEORGE BAEHR, DISSEMINATED LUPUS ERYTHEMATOSUS AND DIFFUSE SCLERODERMA Journal of the American Medical Association. ,vol. 134, pp. 1169- 1174 ,(1947) , 10.1001/JAMA.1947.02880310027007
John R. Lindsay, Esophageal lesions in diffuse scleroderma. Laryngoscope. ,vol. 59, pp. 83- 112 ,(1949) , 10.1288/00005537-194902000-00001
J. E. M. WIGLEY, V. EDMUNDS, R. BRADLEY, Pulmonary fibrosis in scleroderma. British Journal of Dermatology. ,vol. 61, pp. 324- 327 ,(1949) , 10.1111/J.1365-2133.1949.TB11038.X