肺部参与ANCA相关的血管炎重叠与长期存在的系统性红斑狼
Yuki Kuwahara1, Mizuki Nanri1, Yuki Kurihara1
1Division of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan.
系统性红斑狼 (SLE) 很少与ANCA相关的血管炎共存. 在SLE患者出现新的肺部或全身症状,特别是脏问题时,对ANCA的测试至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 肺部病理学 肺部病理学
背景情况:
- 系统性红斑狼 (SLE) 和抗中性粒细胞体抗体 (ANCA) 相关的血管炎是不同的自身免疫性疾病.
- 同存是罕见的,特别是在SLE发病后的几年.
研究的目的:
- 报告一种罕见的SLE和ANCA相关血管炎并存的罕见病例.
- 突出ANCA测试在SLE患者新症状的重要意义.
主要方法:
- 一个74岁的妇女长期患有SLE的病例报告.
- 分析了临床表现,胸部CT,实验室发现和肺部组织学.
- 经证实了带有多炎的粒状瘤病的诊断.
主要成果:
- 患者出现了发烧,肺结节,急性损伤和升高的ANCA.
- 肺活检显示结核性粒瘤与血管炎.
- 用葡萄糖皮质类药物和修复剂治疗导致改善.
结论:
- 在已确定的SLE患者中,ANCA相关的血管炎可能会发生.
- 考虑在SLE患者中进行ANCA测试,这些患者有新的肺部或全身症状,特别是功能障碍.
- 早期诊断和治疗对于有利的结果至关重要.
更多相关视频
10:21Author Spotlight: Exploring the Role of Inflammation in the Co-occurrence of Primary Sjogren's Syndrome and Lung Adenocarcinoma
Published on: September 20, 2024
09:43Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
Published on: June 8, 2022
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
There are various classifications for PH, each relating to different underlying causes and also...
COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Other Pulmonary Disorders
Rheumatic Heart Disease I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
