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皮肤血管炎和血管病。

Cutaneous vasculitis and vasculopathy.

作者信息

Morris D O, Beale K M

机构信息

Section of Dermatology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, USA.

出版信息

Vet Clin North Am Small Anim Pract. 1999 Nov;29(6):1325-35. doi: 10.1016/s0195-5616(99)50130-7.

Abstract

Although uncommon to rare in occurrence, cutaneous vasculitides and vasculopathies are becoming better recognized entities in veterinary medicine. The heterogeneity in their clinical presentations can be confusing, and the diagnostic evaluation of suspected cases can be clinically and financially challenging. The most important step is confirming a vasculitic/vasculopathic process histologically and then searching for an underlying cause. As many cases are diagnosed as idiopathic by exclusion, a familiarity with treatment options is important and may be guided in some cases by the histological inflammatory pattern. Because of the frequent temporal association with drug administration, any case of vasculitis requires a thorough drug history and physical examination for systemic complications. Familiarity with breed-associated vasculopathies is also key in properly diagnosing and managing these problems.

摘要

尽管皮肤血管炎和血管病变在兽医医学中发生的情况不常见到罕见,但它们正逐渐成为被更好认识的疾病实体。其临床表现的异质性可能令人困惑,对疑似病例的诊断评估在临床和经济方面都具有挑战性。最重要的步骤是通过组织学确认血管炎/血管病变过程,然后寻找潜在病因。由于许多病例通过排除法被诊断为特发性,熟悉治疗选择很重要,并且在某些情况下可能由组织学炎症模式来指导。由于经常与药物给药存在时间关联,任何血管炎病例都需要全面的用药史和针对全身并发症的体格检查。熟悉与品种相关的血管病变对于正确诊断和处理这些问题也很关键。

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