Tobacco Use: A Growing Dilemma
Ali
Abdolahinia
Tobacco Prevention and Control Research Center,
author
Mohammad Reza
Masjedi
Department of Pulmonary Medicine, NRITLD, Shahid Beheshti University M.C.
author
text
article
2008
eng
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
9
13
https://www.tanaffosjournal.ir/article_241265_885e744a0951fc40207026a7f426417f.pdf
Clinical Benefits of Procalcitonin
Kosanke
R
Brahms Aktiengesellschaft, Hennigsdorf
author
Beier
W
Brahms Aktiengesellschaft, Hennigsdorf
author
Lipecky
R
Brahms Aktiengesellschaft, Hennigsdorf
author
Meisner
M
Krankenhaus Dresden Neustadt, Klinik für Anästhesie und Intensivtherapie, Industriestr.
DRESDEN-GERMANY.
author
text
article
2008
eng
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
14
18
https://www.tanaffosjournal.ir/article_241266_f7172f31750d348ab4985c264c520585.pdf
Comparison of Nramp1 Gene Polymorphism among TB Health Care Workers and Recently Infected Cases; Assessment of Host Susceptibility
Parisa
Farnia
Mycobacteriology Research Center,
author
Omid
Pajand
Mycobacteriology Research Center,
author
Saber
Anoosheh
Mycobacteriology Research Center
author
Payam
Tabarsi
Mycobacteriology Research Center
author
Mehdi
Kazampour Dizaji
Mycobacteriology Research Center
author
Forozan
Mohammadi
Department of Clinical Anatomical Pathology
author
Mohammad
Varahram
Mycobacteriology Research Center
author
Parvaneh
Baghaei
Department of Infectious Disease
author
Moslem
Bahadori
Department of Clinical Anatomical Pathology,
author
Mohammad Reza
Masjedi
Department of Pulmonary Medicine,
author
Ali Akbar
Velayati
Department of Pediatrics, NRITLD, Shahid Beheshti University
M.C., TEHRAN-IRAN
author
text
article
2008
eng
Background: A link between polymorphisms in the natural resistance –associated macrophage protein gene 1 (Nramp) and susceptibility to tuberculosis (TB) has been demonstrated worldwide. This study aimed to investigate the Nramp1 gene variants among workers exposed to TB bacilli (1-2 hours per day for 1 to 20 years) who did not develop the diseases with those who developed the disease through recent transmission. Materials and Methods: The polymorphism of Nramp1 at INT4, D543 and 3'UTR was examined in 71 newly smear-positive TB cases and 39 healthcare workers exposed to TB. Polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) were used to genotype Nramp1 polymorphism. Patients' clinical and demographical data were collected. Results: The heterozygote patterns of INT4 (G/C), D543 (G/A) and 3'UTR (+/del) occurred more frequently in control subjects than in patients (P =0.012), respectively (odds: 1.9 CI95%) [1.13-3.12]. Although, the homozygous patterns of INT4 (C/C; 8.5%), D543 (A/A; 1.4%) and 3'UTR (del/del; 1.4%) were only seen in patients (sensitivity 11% and specificity 100%). The other risk factors like gender, age, resistance and PPD were not associated with Nramp1 gene polymorphism. Conclusion: Individuals with homozygous type mutation have an increased risk of developing tuberculosis. Therefore, we suggest detection of Nramp1 variants in high-risk groups i.e., health workers and close contact cases. (Tanaffos 2008; 7(1): 19-24)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
19
24
https://www.tanaffosjournal.ir/article_241267_e10f1f531fdc0ab50bd5d26dfa5d244b.pdf
Bcl-2 Protein Expression in Pulmonary Specimens of Sulfur Mustard Victims
Turaj
Roshanzamir
Department of Internal Medicine, Isfahan University of Medical Sciences
author
Nooshin
Mirkheshti
Hakimane-Shargh Research Institute, Isfahan
author
Fatemeh
Ghassami
Hakimane-Shargh Research Institute, Isfahan
author
Nooshin Afshar
Moghadam
Department
of Pathology, Isfahan University of Medical Sciences, ISFAHAN-IRAN.
author
Seyed Ali
Alavi
Hakimane-Shargh Research Institute, Isfahan
author
text
article
2008
eng
Background: Considering the role of sulfur mustard gas in development of acute and chronic pulmonary complications and the role of some genes including Bcl-2 in pulmonary fibrosis, we decided to study Bcl-2 gene expression in lung biopsy specimens of victims in comparison with normal lung. Materials and Methods: Lung biopsy specimens were taken from 13 sulfur mustard (SM) victims with pulmonary complication and were stained by Hematoxylin and Eosin (H & E) and avidin-biotin methods. We used normal lung blocks from forensic medicine as the normal group. These blocks were treated and stained with the same procedure as the case group. Both groups’ blocks were studied by a pathologist simultaneously. Results: The percentage of macrophages in sulfur mustard victims’ specimens was significantly lower than that of the control group. There was also a significant increase in lymphocytes of victims in comparison with the normal group. Neutrophil percentage and Bcl-2 protein in these cells showed no significant difference between the two groups. Bcl-2 protein in fibroblasts and epithelial cells of sulfur mustard victims was significantly higher than the control group. Conclusion: According to the results of this study in comparison with the results of patients with idiopathic pulmonary fibrosis (IPF), pulmonary fibrosis can be confirmed as one of the late complications of SM victims. According to these results, upregulation of Bcl-2 protein and subsequent alveolar epithelial cell hyperplasia and proliferation of fibroblasts may be a mechanism for pulmonary fibrosis induced by mustard gas. It could be important for developing new strategies for the treatment of fatal complications of this chemical warfare. (Tanaffos 2008; 7(1): 25-31)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
25
31
https://www.tanaffosjournal.ir/article_241268_3ecb7775e7b43752cd7d865bc7516bbe.pdf
Genetic Diversity of Pseudomonas aeruginosa Strains Isolated from Hospitalized Patients
Zohreh Mohammad
Taheri
Department of Clinical Anatomical Pathology,
author
Nasrin
Shahbazi
Department of Clinical Anatomical Pathology,
author
Maliheh
Khoddami
Department of Clinical Anatomical
Pathology, Imam Hossein Hospital, Shahid Beheshti University M.C., TEHRAN-IRAN
author
text
article
2008
eng
Background: Pseudomonas aeruginosa is one of the most common nosocomial pathogens often causing major problems in Intensive Care Units. This study aimed to investigate the genotypic diversity of Pseudomomas aeruginosa strains isolated from hospitalized patients in National Research Institute of Tuberculosis and Lung Disease (NRITLD) with random amplified polymorphic DNA (RAPD) method and also to determine the antibiotic resistance pattern. Materials and Methods: Seventy three P. aeruginosa isolates from different specimens were analyzed. These strains were isolated from patient admitted in Intensive Care Unit (ICU) (31), non-ICU inpatient (40), and two environmental specimens one from ventilator and one from soap specimen in ICU. All strains were identified with biochemical testing and antimicrobial susceptibility testing which carried out according to National Committee for Clinical Laboratory Standards (NCCLS). Random Amplified Polymorphic DNA typing (RAPD) was used to study the genetic diversity of Pseudomonas aeruginosa using 2 sets of primers and electophoretic banding patterns were analyzed visually and by GelCompar ІІ software. Results: Phylogenic analysis of the RAPD pattern showed rates of genetic similarity ranging from 40-100%. Four epidemiologically and genetically related isolates (clones) each containing 2-3 isolates were identified. Most of them were from ICU. We detected high antimicrobial resistance rate to Chloramphenicol, Ceftriaxon, Cefepime, Ceftazidime (75-97%) and relatively low resistance rate to Imipenem, Amikacin, Ciprofloxacin and Gentamicin (42-53%). Conclusion: Although a few epidemiologically related clones are found with RAPD method, most of the isolates are probably emanate from the host itself. There is also a high rate of antibiotic resistance especially in ICU. (Tanaffos 2008; 7(1): 32-39)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
32
39
https://www.tanaffosjournal.ir/article_241269_4cc82ae789ef8c6fe37115511553ccb4.pdf
Prevalence and Severity of Asthmatic Symptoms in Rasht Students: A Report from ISAAC Study
Katayoon
Najafizadeh
Department of Pulmonary Medicine
author
Lida
Fadaizadeh
Department of Anesthesiology, NRITLD, Shahid
Beheshti University M.C., TEHRAN-IRAN.
author
Solmaz
Salek
Department of Pulmonary Medicine
author
text
article
2008
eng
Background: This study is a part of the third phase of "International Study of Asthma and Allergy in Childhood" (ISAAC) which was aimed to study the prevalence and severity of asthma symptoms among children and to compare the result with those of the first phase in Rasht city. Materials and Methods: A descriptive study was performed on 0-7 and 13-14 years old students of Rasht city during 2001- 2002. After performing statistical analysis, prevalence of asthma symptoms was evaluated in both sexes and the two age groups by using chi-square test. Results: A total of 6074 students participated in this study. History of wheezing during their life-time and history of recent wheezing were present in 23.3% and 15.4% of students, respectively. Prevalence of this symptom in both situations was significantly higher in male students compared to females. Three hundred forty-nine students (5.7%) were known cases of asthma. Number of asthmatic cases among 6-7 years old students was 1.5 times higher than the other group. Also, prevalence of asthma in boys was 1.6 times higher than girls. Over all, 522 students (8.6%) mentioned a history of wheezing during or after exercise in the past 12 months. This was 3 times higher among 13-14 years old students and 1.9 times higher in boys. Eight hundred thirty-five (13.7%) students had a history of dry cough during the last 12 months and its prevalence was higher in students in the 13-14 years old group and in boys as well. Conclusion: Compared to the results of phase I of this study, the prevalence of known cases of asthma has considerably increased in both age groups. Prevalence of asthma was higher in 6-7 years old boys. There is a wide range of risk factors for development of asthma and its exacerbation in children which requires further investigations to find factors responsible for increased prevalence of this disease in Rasht city. (Tanaffos 2008; 7(1): 40-49)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
40
46
https://www.tanaffosjournal.ir/article_241271_f5876a4975d987a18129fdbb7c351761.pdf
Pulmonary Metastatectomy and Survival Rate of Patients
Azizollah
Abbasi Dezfouli
Department of Thoracic Surgery
author
Behrooz
Heydari
Department of Thoracic Surgery
author
Mohammad Behgam
Shadmehr
Department of Thoracic Surgery,
author
Mehrdad
Arab
Department of Thoracic Surgery
author
Mojtaba
Javaherzadeh
Department of Thoracic Surgery
author
Saviz
Pejhan
Department of Thoracic Surgery
author
Abolghasem
Daneshvar Kakhki
Department of Thoracic Surgery
author
Roya
Farzanegan
Department of Thoracic Surgery,
author
text
article
2008
eng
Background: Although presence of pulmonary metastasis is indicative of disease progression and its untreatable nature, in recent decades, numerous efforts have been made for treatment of these patients by surgical resection of metastatic lesions. The efficacy of this procedure has been variable in various reports and different diseases. This study aimed to evaluate the effect of metastatectomy in survival rate of patients with pulmonary metastases who underwent metastatectomy in Masih Daneshvari hospital. Materials and Methods: This was a retrospective study and we evaluated medical records of 99 patients suffering pulmonary metastasis who had been referred to our center during 1995-2007; out of which 48 patients who were qualified for metastatectomy underwent this operation. The required qualifications for surgery included: feasibility of resecting all metastatic lesions, tolerance of surgery by the patient, absence of metastatic lesions in organs other than the lungs, and control of primary disease. Information regarding the site of primary lesion and its pathology, time interval between the diagnosis of primary disease and metastasis, surgical morbidity and mortality, form of surgical procedure, type of incision, number of pulmonary metastases and survival rate of patients was collected. Patients were followed up via clinical visits. In case of insufficient clinical visits, we contacted the patient or his/her family and collected the rewired data. Obtained data were analyzed using SPSS software. To assess the patients' survival rate after the operation, Kaplan-Meier test was used. Results: Sixty-seven pulmonary metastatectomies were conducted on 48 patients (31 males and 17 females) in the age range of 16-86 years (mean 40 yrs). Twenty-five patients had unilateral and 23 had bilateral metastases. Among patients with bilateral metastases, 7 underwent single-phase metastatectomy while 16 underwent two or multi-phase metastatectomy. Surgical incisions were done through the following approaches: in 60 cases through postero-lateral thoracotomy, in 4 cases through mid-sternotomy and in 3 cases through bilateral anterior-transverse thoracotomy along with sternotomy (clamshell). In 61 cases pulmonary metastatic lesion was removed by wedge resection, in 14 cases by lobectomy and in one case by pneumonectomy. Mean number of resected lesions was 6.7 (range 1 to 59). Postoperative complications occurred in 10 patients (15%) including pneumothorax in 9 cases and chylothorax in one. No morbidity, mortality or life-threatening complications occurred in any of the patients. The mean survival of patients following metastatectomy was 22 months (range 1 to 128 months) and their 5-year survival was 24.5% Five patients had 5 years (60 months) or more survival. Conclusion: Although the under-study population was not homogenous pathologically, it seems that metastatectomy with acceptable morbidity, increases the survival of patients and in some cases results in their complete recovery. (Tanaffos 2008; 7(1): 47-51)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
47
51
https://www.tanaffosjournal.ir/article_241272_aabd40d1d8d96aa33d043af073fe4c69.pdf
Pulmonary Tuberculosis in the Elderly
Mohammad
Towhidi
Department of Internal Medicine, Pulmonary Division
author
Azita
Azarian
Department of Radiology, Ghaem Hospital, Mashhad University of Medical
Sciences, MASHHAD - IRAN.
author
Amir
Asnaashari
Department of Internal Medicine, Pulmonary Division
author
text
article
2008
eng
Background: Despite the increased rate of tuberculosis (TB) in the elderly, few publications have presented the clinical characteristics of TB in this specific age group in our country. This study aimed to compare the clinical features, predisposing factors and imaging findings of pulmonary TB in the elderly and in young adults, and to determine if any difference exists between the two groups. Materials and Methods: We retrospectively reviewed the records of all patients with the diagnosis of pulmonary TB at Ghaem Hospital and outpatient clinics during a 6-year period. Ninety-five patients were studied and divided into two groups, 33 patients were in the young group (mean age, 29.3 yrs.) and 40 patients in the elderly group (mean age, 69.6 yrs.). Patients aged 46-64 were excluded from the study. Results: Predisposing factors were more prevalent in the elderly who had a significantly higher frequency of chronic obstructive pulmonary disease, ischemic heart disease, congestive heart failure, malignancy and diabetes mellitus. Pregnancy and postpartum status were the predisposing conditions in young females. The classic symptoms and signs of TB were noted in a higher proportion of the younger group. Fever (78% vs. 57.5%), and weight loss(94% vs. 80%) were significantly higher (p <0.05),while night sweats(24% vs. 22.5%),cough (100% vs. 92.5%) and hemoptysis(30% vs. 15%), were seen more in the younger group but with no significant differences .Lower lung infiltrates were higher in the elderly; whereas, cavitation was seen significantly more in the young age group(63% vs. 25%, p <0.05). Conclusion: To prevent delay in diagnosis and treatment, TB should be considered among the differential diagnosis of any type of pulmonary infiltrates seen in the elderly, even when the clinical presentation is atypical. (Tanaffos 2008; 7(1): 52-57)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
52
57
https://www.tanaffosjournal.ir/article_241274_6fb2bb6d7a88ac320da9eff38ebbb699.pdf
Accuracy of Chest X-Ray in the Diagnosis of Tracheobronchial Foreign Bodies in Children
Hamid Reza
Mansourian
Department of Radiology, Shaheed Sadoughi University of Medical Sciences, YAZD – IRAN
author
Abdol-Reza
Sadrearhami
Department of Radiology, Shaheed Sadoughi University of Medical Sciences, YAZD – IRAN
author
Amir Abbas
Shadman Yazdi
Department of Radiology, Shaheed Sadoughi University of Medical Sciences, YAZD – IRAN.
author
text
article
2008
eng
Background: Tracheobronchial foreign body (TFB) aspiration is a common cause of mortality and morbidity in early childhood. The aim of this study was to evaluate the diagnostic value of chest x-ray in tracheobronchial foreign body aspiration among a group of Iranian children. Materials and Methods: We evaluated 32 children who underwent bronchoscopy for suspected airway foreign bodies. We reviewed the patients' age, symptoms, duration of symptoms, prebronchoscopy posterior-anterior x-rays, type of foreign body, and anatomic location of foreign body. Sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV), and accuracy indices of chest x-ray for the diagnosis of TFB aspiration were measured in this study. Results: The mean age of patients was 30 months (range 6–54 months), and 19(59.4%) were males. Among 32 patients who underwent bronchoscopy, foreign body was found and removed in 26 (81.2%) of them. Foreign bodies observed were the hull of nuts in 10 (38.5%), pomegranate seeds in 6 (23%), beans in 4 (15.4%), and some food products such as meat in two (7.7%) children. Chest x-ray was normal in 12 patients (37.5%). The most common symptom was cough in 80% of patients; followed by wheezing in 60%, tachypnea in 40%, dyspnea in 20%, and stridor in 5%. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of expiratory chest radiography in this study were 65%, 50%, 85%, 25%, and 62.5%, respectively. Conclusion: Chest x-ray is not specific for diagnosis of foreign body aspiration, and a normal chest x-ray does not always rule out the diagnosis of foreign body aspiration in patients with a history suggestive of foreign body aspiration and positive physical examinations. (Tanaffos 2008; 7(1): 58-62)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
58
62
https://www.tanaffosjournal.ir/article_241275_b239d0877b084545e8687ec8f1c4c377.pdf
Possible Effect of Chlamydophila pneumoniae on COPD Exacerbation
Shervin
Shokouhi
Department of Infectious Disease, Shahid Beheshti University M.C.
author
B.
Hajikhani
Department of Medical Bacteriology, Tarbiat Modarres University,
author
M.
Godazgar
Department of Infectious Disease, Shahid Beheshti University M.C.
author
M.
Samanabadi
Department of Infectious Disease, Shahid Beheshti University M.C.
author
M.
Sattari
Department of Medical Bacteriology, Tarbiat Modarres University,
author
Hamid Reza
Jamaati
Department of Pulmonary Medicine,
author
S.
Sazgar
Department of Infectious Disease, Shahid Beheshti University M.C.
author
text
article
2008
eng
Background: Chlamydophila pneumoniae is one of the common causative agents of respiratory infections. The present study aims to find the role of Chlamydophila pneumoniae infection in infectious exacerbation of chronic obstructive pulmonary disease (COPD). Materials and Methods: Sixty-five nasopharyngeal swab specimens of COPD patients were studied using fluorescent antibody staining with chlamydia specific conjugated antibody and with fluorescent microscopes. Data were analyzed by using SPSS software, version 13. Results: A total of 65 COPD patients (as defined by the American Thoracic Society), 53 (81.5%) males and 12 (18.5%) females were included in the study. Forty-six (70.7%) subjects had exacerbated COPD while 19 (29.3%) were stable COPD patients. We found 4 positive cases of chlamydophila infection (6.15%), 3 of which (2 men and 1 woman) belonged to the exacerbation group and 1 had stable COPD. Conclusion: Data analysis revealed that there was no significant correlation between chlamydophila infection and COPD exacerbation (P= 0.848). (Tanaffos 2008; 7(1): 63-67)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
63
67
https://www.tanaffosjournal.ir/article_241276_56659a333ac1c22080e2ecb090a1775a.pdf
Primary Thymic Adenoid Cystic Carcinoma Mimicking a Teratoma: A Case Report
Béma
Coulibaly
Service d’Anatomie Pathologique et de Neuropathologie, CHU Timone,
author
Myriam
Marcy
Service de Biopathologie, Institut Paoli Calmettes,
author
Carla
Fernandez
Service d’Anatomie Pathologique et de Neuropathologie, CHU Timone,
author
Pascal
Thomas
Service de
Chirurgie Thoracique et des maladies de l’œsophage, Hôpital Sainte Marguerite, MARSEILLE – FRANCE
author
Roger
Giudicelli
Service de
Chirurgie Thoracique et des maladies de l’œsophage, Hôpital Sainte Marguerite, MARSEILLE – FRANCE
author
Anne-Marie
Taséi
Service d’Anatomie Pathologique et de Neuropathologie, CHU Timone,
author
text
article
2008
eng
Adenoid cystic carcinoma is a malignant tumor usually located in the salivary glands. We report a case of primary adenoid cystic carcinoma of the thymus in a 37 year-old woman who was admitted for chronic cough and dyspnea. Computed tomography (CT) scan of the lung showed a cystic and solid anterior mediastinal mass compatible with a teratoma. The patient underwent surgical excision of the mediastinal tumor. Histological and immunophenotypic features were characteristic of adenoid cystic carcinoma. Adenoid cystic carcinoma must be differentiated from thymic teratoma. Clinical and radiographic examination should exclude a metastasis to the thymic region from an unusual site of involvement by an adenoid cystic carcinoma. (Tanaffos 2008; 7(1): 68-70)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
68
70
https://www.tanaffosjournal.ir/article_242259_162da9573b2329c57ee5275a0714d5ee.pdf
Antiphospholipid Antibody Syndrome Presenting with Pulmonary Embolism
Nader
Rezaei
Department of Pulmonary Medicine,
author
Mojdeh Zabihi
Yeganeh
Department of Rheumatology, Firouzgar Hospital, Iran University of Medical Sciences, TEHRANIRAN.
author
Farideh
Ahmadi
Department of Rheumatology, Firouzgar Hospital, Iran University of Medical Sciences, TEHRANIRAN.
author
text
article
2008
eng
Antiphospholipid antibody syndrome (APS) is a recently-diagnosed syndrome presenting with arterial and venous thrombosis, recurrent miscarriages and thrombocytopenia in the presence of antiphospholipid antibodies. A 16- year-old man referred due to right sided chest pain, dyspnea and cyanosis of two fingers presented for 2 months. After a complete workup, diagnosis of pulmonary thromboembolism was confirmed through clinical examination, spiral chest CTscan and lower limb Doppler sonography. He had positive anticardiolipin antibody, lupus anticoagulant, ANA and anti dsDNA. Based on these findings, diagnosis of APS (probably secondary to SLE) was made. Symptoms were improved by anticoagulant, prednisolone and chloroquine therapy. In a conclusion, pulmonary embolism may be the first presentation of APS, especially in young adults. (Tanaffos 2008; 7(1): 71-74)
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
71
74
https://www.tanaffosjournal.ir/article_242260_8ae0d6636da192d50dd07dd5264a10ea.pdf
A 36-Year-Old Woman with Cough, Dyspnea and Pulmonary Infiltration
Seyed Davood
Mansoori
Department of Internal Medicine, Division of Infectious Disease and Clinical Immunology,
author
Laleh
Rahmani
Department of Internal Medicine, Division of Infectious Disease and Clinical Immunology,
author
Shahou
Mazhari
Department of Internal Medicine, Division of Infectious Disease and Clinical Immunology,
author
Vahid
Jafarloo
Department of Internal Medicine, Division of Infectious Disease and Clinical Immunology,
author
Behnood
Bikdeli
Department of Internal Medicine, Division of Infectious Disease and Clinical Immunology,
author
Atosa
Dorodinia
Department of Pathology,
author
Tahereh
Parsa
Department of Anesthesiology,
author
text
article
2008
eng
TANAFFOS (Respiration)
National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
1735-0344
7
v.
1(winter)
no.
2008
75
78
https://www.tanaffosjournal.ir/article_242261_8d9d4e2c858d15f80f30dac734736f51.pdf