Wong H Y, Lee H Y, Pang W S, Lieu P K
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 2000 Feb;41(2):64-5.
Wegener's granulomatosis classically involves the upper respiratory tract, lungs and kidneys. Rarely, it also affects the skin and heart. Cardiac involvement is uncommon in Wegener's granulomatosis and myocardial infarction is seldom highlighted. It can be a difficult diagnosis to make in the elderly who often have multiple co-existing illnesses. We present a case of a 75-year-old Chinese woman with interesting cardiac and dermatological manifestations of Wegener's granulomatosis.
韦格纳肉芽肿典型地累及上呼吸道、肺和肾脏。很少情况下,它也会影响皮肤和心脏。心脏受累在韦格纳肉芽肿中并不常见,心肌梗死也很少被提及。对于常有多种并存疾病的老年人来说,这可能是一个难以做出的诊断。我们报告一例75岁中国女性患者,其患有韦格纳肉芽肿,伴有有趣的心脏和皮肤表现。