Journal of clinical tuberculosis and other mycobacterial diseases · 2026
Case reports: Pulmonary destructive lesions caused by ankylosing spondylitis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Zhan Senlin, Zhang Hongyi, Peng Qiaoli, Qin Hongjuan, Zhang Peize
Аннотация
BACKGROUND: Ankylosing spondylitis (AS) frequently produces thoracic-cage deformities-kyphosis and rib fusion-that restrict chest expansion and impair ventilation, occasionally progressing to atelectasis or pulmonary fibrosis. Such pulmonary manifestations are often misdiagnosed as tuberculosis or fungal disease.
CASE PRESENTATION: We describe two AS patients with bilateral upper-lobe destruction whose initial chest CT scans suggested tuberculosis. After thorough microbiological work-up remained negative, both were diagnosed with AS-associated lung injury (ASLI) and referred to rheumatology. Because destroyed lung carries lifelong risks of infection and hemorrhage, long-term respiratory follow-up was recommended.
CONCLUSION: We describe two AS patients with bilateral upper-lobe destruction whose initial chest CT scans suggested tuberculosis. After thorough microbiological work-up remained negative, both were diagnosed with AS-associated lung injury (ASLI) and referred to rheumatology. Because destroyed lung carries lifelong risks of infection and hemorrhage, long-term respiratory follow-up was recommended.
CASE PRESENTATION: We describe two AS patients with bilateral upper-lobe destruction whose initial chest CT scans suggested tuberculosis. After thorough microbiological work-up remained negative, both were diagnosed with AS-associated lung injury (ASLI) and referred to rheumatology. Because destroyed lung carries lifelong risks of infection and hemorrhage, long-term respiratory follow-up was recommended.
CONCLUSION: We describe two AS patients with bilateral upper-lobe destruction whose initial chest CT scans suggested tuberculosis. After thorough microbiological work-up remained negative, both were diagnosed with AS-associated lung injury (ASLI) and referred to rheumatology. Because destroyed lung carries lifelong risks of infection and hemorrhage, long-term respiratory follow-up was recommended.