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延迟诊断的粒状瘤与多炎呈现为不规则形状的固体肺结节与异质增强:一个案例报告

Ranran Mo¹, Cuixia Bian, Liping Han

¹Department of Pulmonary and Critical Care Medicine, Jining No. 1 People's Hospital, Jining, Shandong, China.

|June 9, 2025

概括

带有多叶膜炎 (GPA) 的粒状瘤可以呈现为肺结节,模仿其他疾病并导致诊断延迟. 早期考虑GPA对于及时治疗和耐火性肺炎患者的改善结果至关重要.

科学领域:

类风湿病学类风湿病学
肺部病理学肺部病理学
放射学放射学是一门学科.

背景情况:

带有多炎 (GPA) 的粒状瘤炎是一种全身性自身免疫性血管炎.
在GPA中胸部X光学发现可以模仿其他肺部疾病,导致潜在的误诊.
这一案例突出显示了一种罕见的GPA呈现,具有不规则形状的固体肺结节和异质增强.

研究的目的:

为了描述由于非典型的肺部表现而延迟GPA诊断的情况.
强调在无法解释的肺结节的差异诊断中考虑GPA的重要性.
审查GPA中特征性的胸部X光学发现.

主要方法:

一名69岁的男性患者最初根据固体肺结节被误诊为肺癌.
无断的肺活检结果和非典型的胸部CT发现导致诊断延迟2个月.
由肺栓塞复杂的GPA的最终诊断已经建立.

主要成果:

患者在感染控制后接受了甲基prednisolone和免疫抑制疗法.
大多数临床指标在门诊随访时恢复正常.
这一案例凸显了GPA多种肺部表现所带来的诊断挑战.

结论:

肺部干扰在GPA中很常见,呈现为结节,质量,空洞或巩固.
在GPA的病变有复发的倾向.
临床医生应该考虑GPA在抗生素耐药性肺炎与肺外症状.

关键词:

韦格纳的粒状瘤症.案例报告案例报告带有多阳性炎的颗粒瘤症.肺部结节肺部结节

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