朗读并口译红色部分,并根据文章内容提问(节选自 N Engl J Med)
Case 28-2005: A 42-Year-Old Man
with Weight Loss, Weakness, and a Rash
Myles Wolf, M.D., M.M.Sc., Henry Rose, M.D., and R. Neal Smith, M.D.
with Weight Loss, Weakness, and a Rash
Myles Wolf, M.D., M.M.Sc., Henry Rose, M.D., and R. Neal Smith, M.D.
From the Nephrology Division, Department
of Medicine (M.W.), and the Department
of Pathology (R.N.S.), Massachusetts General
Hospital, Boston; the Nephrology Division,
Department of Medicine, Berkshire
Medical Center, Pittsfield, Mass. (H.R.); and
the Departments of Medicine (M.W.) and
Pathology (R.N.S.), Harvard Medical School,
Boston.
N Engl J Med 2005;353:1148-57.
Copyright 2005 Massachusetts Medical Society.
of Medicine (M.W.), and the Department
of Pathology (R.N.S.), Massachusetts General
Hospital, Boston; the Nephrology Division,
Department of Medicine, Berkshire
Medical Center, Pittsfield, Mass. (H.R.); and
the Departments of Medicine (M.W.) and
Pathology (R.N.S.), Harvard Medical School,
Boston.
N Engl J Med 2005;353:1148-57.
Copyright 2005 Massachusetts Medical Society.
A 42-year-old man was admitted to another hospital because of weight loss, hematuria,
hemoptysis, weakness, and a rash.
He had been well until three years earlier, when his family had moved into a new
home. Shortly thereafter he began to have shortness of breath, wheezing, and a cough.
An environmental inspection of the home revealed mold infestation, and the house
was thoroughly cleaned. His symptoms persisted, and evaluations by specialists in infectious
diseases, pulmonary diseases, and allergies revealed no cause. During the next
two years, his symptoms were controlled with bronchodilators and oral prednisone at
a dosage that ranged from 10 to 80 mg per day. His symptoms recurred when the prednisone
was reduced to less than 10 mg per day.
全文链接: http://content.nejm.org/cgi/reprint/353/11/1148.pdf
hemoptysis, weakness, and a rash.
He had been well until three years earlier, when his family had moved into a new
home. Shortly thereafter he began to have shortness of breath, wheezing, and a cough.
An environmental inspection of the home revealed mold infestation, and the house
was thoroughly cleaned. His symptoms persisted, and evaluations by specialists in infectious
diseases, pulmonary diseases, and allergies revealed no cause. During the next
two years, his symptoms were controlled with bronchodilators and oral prednisone at
a dosage that ranged from 10 to 80 mg per day. His symptoms recurred when the prednisone
was reduced to less than 10 mg per day.
全文链接: http://content.nejm.org/cgi/reprint/353/11/1148.pdf
