Ellert-Zygadłowska J, Radowska D
Kliniki Chorób Zakaźnych Instytutu Chorób Wewnetrznych i Wojewódzkiego Szpitala Zakaźnego w Gdańsku.
Pol Merkur Lekarski. 2000 Jan;7(43):41-2.
The authors present a case of Wegener's granulomatosis in a 22 year-old female patient. They observed multi-organic changes concerning upper and lower respiratory tracts, skin, oral cavity, joints, kidneys. The diagnosis was confirmed in the Department for Infectious Diseases after two years of the beginning of the disease. The diagnosis was based on a course of the disease, histopathological changes of the skin, an increase of cANCA levels. CTX, prednisolon, cyclosporin and immunoglobulins i.v. for 5 days were used in the therapy. Apart from this symptomatic treatment was also introduced. The 14-month remission of the disease was obtained.
作者报告了一例22岁女性患者的韦格纳肉芽肿病。他们观察到该患者的上、下呼吸道、皮肤、口腔、关节和肾脏出现多器官病变。在疾病开始两年后,传染病科确诊了该病例。诊断依据是疾病进程、皮肤组织病理学变化以及cANCA水平升高。治疗中使用了环磷酰胺、泼尼松龙、环孢素和静脉注射免疫球蛋白5天。除此之外,还采用了对症治疗。疾病获得了14个月的缓解期。