知って良かった「かさぶた様サイン」でもちょっとだけ不満/腹満のため麦酒飲めず
Abstract
Objectives: The aim of this study was to assess the CT findings that characterise haemoptysis in patients with chronic pulmonary aspergillosis (CPA).
Methods: We retrospectively identified 120 consecutive patients with CPA (84 men and 36 women, 17-89 years of age, mean age 68.4 years) who had undergone a total of 829 CT examinations between January 2007 and February 2017. In the 11 patients who underwent surgical resection, CT images were compared with the pathological results.
Results: The scab-like sign was seen on 142 of the 829 CT scans, specifically, in 87 of the 90 CT scans for haemoptysis and in 55 of the 739 CT scans obtained during therapy evaluation. In 48 of those 55 patients, haemoptysis occurred within 55 days (mean 12.0 days) after the CT scan. In the 687 CT scans with no scab-like sign, there were only three instances of subsequent haemoptysis in the respective patients over the following 6 months. Patients with and without scab-like sign differed significantly in the frequency of haemoptysis occurring after a CT scan (p<0.0001). Pathologically, the scab-like sign corresponded to a fibrinopurulent mass or blood crust.
Conclusions: The scab-like sign should be considered as a CT finding indicative of haemoptysis.
・今日呼吸器学会の講演視聴して、良い勉強になったと思いましたが、標題の「フラストレーション」は↑の論文にあります。freeでみることはできないので抄録しか読んでいません。その抄録には突然scab-like signという言葉が出るだけで、どのような画像の変化か何も説明がありません。(最期に病理変化のことは書いていますが)新しい言葉なのにその説明もなく抄録にでてくるのかいかがなものでしょうか?査読者はなんとも思わなかったのかな?
・↓の文献は上の文献を引用した総説。これはfreeでよむことができます。(全部読んでないけど) Front
Microbiol. 2018; 9: 1810.
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