矽肺症併發全身性硬皮症合併間質性肺炎──伊拉斯謨綜合症

Silicosis Complication with Systemic Scleroderma with Interstitial Pneumonitis - Erasmus Syndrome

雖然嚴重的呼吸困難不常發生於單純性矽肺病患，但此症狀可能會隨著矽肺病或其他疾病所產生的肺部間質性纖維化而發生，例如系統性硬化症（硬皮症）。這篇文章描述了一位患有長期矽肺病的患者，突然出現呼吸困難症狀，繼而發現間質性肺炎和肋膜積水並伴隨有硬皮症的皮膚表現。經由肺灌洗和切片等檢查後，他接受了prednisolone和cyclophosphamide治療，顯著改善了他的肺功能和運動能力。此外，此篇還討論了此疾病的診斷及治療。

Although severe dyspnea is uncommon in patients with simple silicosis, it may occur with pulmonary interstitial fibrosis caused by silicosis or other disorders such as systemic sclerosis (scleroderma). This article describes the case of a patient with long-standing silicosis who suddenly developed dyspnea and was subsequently diagnosed with interstitial pneumonitis, pleural effusion, and skin manifestations of scleroderma. After lung lavage and biopsy, the patient was treated with prednisolone and cyclophosphamide, which significantly improved their lung function and exercise capacity. This article also discusses the diagnosis and management of this condition.