【摘 要】
：
A 56-year-old female complained of fever,cough and gradually worsening dyspnea.His chest CT scan revealed bilateral multiple nodules and patchy infiltrates.The patient was diagnosed initially as commu
【机 构】
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Pneumology Department,Zhe Jiang Chinese and Western Medicine Integrated Hospital
【出 处】
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全国第十九次中医肺系病学术交流会暨2015年浙江省中医药学会呼吸病分会学术年会
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A 56-year-old female complained of fever,cough and gradually worsening dyspnea.His chest CT scan revealed bilateral multiple nodules and patchy infiltrates.The patient was diagnosed initially as community acquired pneumonia,but antibiotic treatment was ineffective.The dyspnea deteriorated and repeated chest CT showed an increase of the nodules and the patchy infiltrates.After the computed tomography guided percutaneous lung biopsy,pathological examination revealed there were numerous fibrin and organizing tissue in the alveoli without pulmonary hyaline membrane,which were consistent with AFOP.The patient showed significant clinical and radiological improvement after corticosteroid therapy.The main clinical manifestations of AFOP were lack of specificity.Diagnosis was made by lung biopsy.Patients of AFOP were misdiagnosed as pneumonia easily.Treatment with corticosteroids could be effective.
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