关键词: cannabis use chest x-ray lung opacity pulmonology steroid treatment

来  源:   DOI:10.7759/cureus.37312   PDF(Pubmed)

Abstract:
Hypersensitivity pneumonitis (HP) is a lung disease in which foreign matter is inhaled and exposed to lung parenchymal and interstitial tissue. Such matter may include pollen, molds, chemicals, and smoke. HP leads to widespread inflammation and even fibrosis in chronic forms; the main route of treatment usually involves corticosteroids and antifibrotics as needed. We describe a patient case in which HP was diagnosed after using recreational marijuana, and her chest x-ray had a complete resolution after one day of a corticosteroid regimen. As recreational marijuana use increases, clinicians need to keep HP on the differential diagnosis in patients that frequently utilize recreational marijuana obtained through illicit business.
摘要:
过敏性肺炎(HP)是一种肺部疾病,其中异物被吸入并暴露于肺实质和间质组织。这种物质可能包括花粉,模具,化学品,和烟。HP导致广泛的炎症甚至慢性形式的纤维化;治疗的主要途径通常涉及需要的皮质类固醇和抗纤维化药物。我们描述了一个患者病例,其中HP在使用休闲大麻后被诊断出,在接受皮质类固醇治疗一天后,她的胸部X光片完全消退。随着娱乐性大麻使用的增加,临床医生需要保持HP对经常使用通过非法业务获得的娱乐性大麻的患者的鉴别诊断。
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