动态变化的抗中性粒细胞质抗体在多炎的颗粒瘤中:一个病例报告
Yan Zhang1, Qiao-Ding Dai1, Ji-An Wang1
1Department of Rheumatism and Immunology, The First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang Province, China.
World journal of clinical cases
|June 20, 2024
概括
当抗中性粒细胞质抗体 (ANCA) 测试呈阴性结果时,诊断多炎 (GPA) 带来的粒状瘤可能具有挑战性. 早期诊断ANCA阴性GPA需要整合他的病理学和多学科合作.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 带有多炎 (GPA) 的粒状瘤是抗中性粒细胞体抗体 (ANCA) 相关的血管炎的流行形式.
- GPA诊断依赖于临床,血清学 (ANCA) 和组织学发现.
- 虽然细胞质ANCA (c-ANCA) 在65-75%的GPA患者中呈阳性,但大约5%的患者呈阴性ANCA.
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