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首页> 外文期刊>Journal of Clinical Medicine >An Unusual and Fatal Cause of Miliary Nodules on Chest Radiography
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An Unusual and Fatal Cause of Miliary Nodules on Chest Radiography

机译:胸部X线片上粟粒性结节的异常和致命原因

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Foreign body granulomatosis has many etiologies, including the injection of oral medications intravenously. The insoluble filler materials that are used in the medications can lodge in pulmonary arterioles and capillaries, which can trigger foreign body giant cell reaction, chronic inflammation, thrombosis, and fibrosis, resulting in pulmonary hypertension, progressive shortness of breath, and, potentially, fatal conditions. On imaging, this may present with multiple miliary mottling’sodules. The use of a bronchoscopy with biopsy can be an excellent way to establish a diagnosis in appropriate clinical settings. Here, we present a case of a 37-year-old old male found to have multiple miliary densities on imaging due to intravenous use of oral medication.
机译:异物肉芽肿病有许多病因,包括静脉内注射口服药物。药物中使用的不溶性填充材料会滞留在肺小动脉和毛细血管中,这会触发异物巨细胞反应,慢性炎症,血栓形成和纤维化,从而导致肺动脉高压,进行性呼吸急促,甚至可能致命条件。在成像时,可能会出现多个粟粒斑驳/结节。支气管镜活检可能是在适当的临床环境中进行诊断的极好方法。在这里,我们介绍了一例37岁的男性,由于静脉内使用口服药物而在影像学上发现了多种粟粒密度。

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