一過性肺浸潤の臨床的観察
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Observation was made on the epidemiological conditions in 83 cases with transient pulomnary infiltration. They were divided into two groups, positive and negative, according to the result of cold agglutination reaction, and clinical manifestations in both groups were compared with each other. The results were as follows. 1) Incidence of this type pulmonary infiltration was 0.45 per cent of the total ambulatory patients. As to sexual predominance 48 males and 35 females were afflicted, suggesting that the incidence was somewhat higher in males. With regard to age the highest incidence was encountered durig the third decade. 2) As far as the incidence by seasons was concerned this disease occurred sporadically throughout the year, but comparatively more cases appeared in autumn and winter. 3) The patients were divided into a positive group consisiting of 56 cases and a negative group of 27 cases according to the result of cold agglutination reaction. Comparative studies were made on each group. i) Clinical manifestations were found generally slight in the negative group. ii) Erythrocyte sedimentation rate was distinctly elevated in the positive group compared to the negative. The cold agglutinin titer was higher, the elevation was more marked. In addition, as a result of studies on the serum protein fraction a decrease in albumin and A/G ratio, a slight increase in α-globulin, and a somewhat marked increase in γ-globulin, were detected in most cases of the positive group, while almost normal values were obtained in the negative group. iii) Radiographically most cases of the positive group presented V-shaped or fan-shaped shadows expanding from the hilus, while relatively more cases of the negative group disclosed localized small shadows. Moreover, the shadows extended over more than half a pulmonary field in most cases of the positive proup, while small shadows less than a quarter of a pulmonary field were observed in most cases of the negative group. In addition, in the positive group shadows appeared most frequently in the lower pulmonary field, while in the negative group they occured mostly in the upper and middle fields. 4) Recurrence of this type pulmonary infiltration was rare, and its prognosis was good.
- 千葉大学の論文
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- 一過性肺浸潤の臨床的観察