中型および大型血管炎

David Saadoun^1,2, Mathieu Vautier¹, Patrice Cacoub²

¹Sorbonne Universités, Assistance Publique Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière University Hospital, Department of Internal Medicine and Clinical Immunology, Centre national de Référence des Maladies Auto-Immunes Systémiques Rares, Centre national de Référence des Maladies Auto-Inflammatoires et de l'Amylose inflammatoire, Paris, France (D.S., M.V.).

Circulation

|January 19, 2021

まとめ

システム血管は,血管の大きさによって分類される血管疾患です. 早期診断は,これらのマルチシステム状態に関連した死亡リスクと有害な結果を軽減するために不可欠です.

科学分野:

心血管医学
リウマトロジー
免疫学

背景:

系統性血管炎は,小,中,大型の血管に影響を与える多系統性疾患である.
一般的な例としては,巨細胞動脈炎と高山動脈炎 (大血管),多動脈炎ノドーサ,川崎病 (中血管) が挙げられる.
プレゼンテーションの変動と単一の臓器の関与の可能性は,高い臨床的疑念を必要とします.

研究の目的:

病理生理学,疫学,診断戦略,および全身性血管炎の管理をレビューする.
心血管の臨床医の迅速な特定と診断の重要性を強調する.
血管炎の表象に対する民族的,地域的な変化の影響を強調する.

主な方法:

血管炎の病理学と疫学に関する既存の文献のレビュー.
様々なタイプの血管炎の診断方法の分析
組織性血管炎の現在の管理戦略の要約

主要な成果:

Vasculitidesは,重複があるものの,主たる血管サイズ関与 (小,中,大) によって分類されます.
死亡リスクと重度の有害事象の可能性が伴うため,早期診断は極めて重要です.
臨床表現は民族的,地域的要因によって大きく変化する.

結論:

系統性血管炎は,早期の診断と効果的な管理のために高い疑い指数を必要とします.
病理生理学,流行病学,診断のニュアンスを理解することは,心臓血管の臨床医にとって不可欠です.
早期に介入することで深刻な合併症を予防したり最小限に抑えたり患者の治療結果を改善できます

キーワード:

カワサキ病タカヤス巨大細胞動脈炎多動脈症結節症血管炎

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