[Eosinophilic lesions of the lungs (case reports and review of the literature)].

Abstract:

:Overall 75 references concerning the etiology, pathogenesis and the clinical picture of eosinophilic lesions of the lungs were analyzed. Sixteen patients with drug-induced disease were placed under the author's observation. Of these, 8 patients fell ill due to penicillin, 3 to tetracycline, 3 to sulfanilamide intake and alpha to intal inhalations. In 10 patients, pneumonia was characterized by high blood eosinophilia (from 20 to 53%, 37.5 +/- 2.7%) and in 6, it was of moderate nature (from 10 to 15%, 11.8 +/- 0.8%). According to the author's data, the immunopathological response coupled with suppression of the T lymphocyte system, inhibition of the enzymatic activity of leukocytes, dysproteinemias with hypergammaglobulinemia, reductions of the concentration of IgG underlie the disease pathogenesis. In the patients with high blood eosinophilia, including 4 with polysystemic lesions, the disease ran a grave course. The therapeutic effect could only be attained owing to the monotherapy with prednisolone. In the long-term period, 9 patients developed glucocorticoid-dependent bronchial asthma. The patients with moderate blood eosinophilia showed a milder disease course and a favourable outcome.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Trubnikov GV

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

108-14

issue

3

eissn

0040-3660

issn

2309-5342

journal_volume

63

pub_type

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