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[系统性红斑狼疮中大血管血管炎的罕见表现]

[Rare manifestation of large vessel vasculitis in systemic lupus erythematosus].

作者信息

Schwarz-Eywill M, Rinaldi N, Barth T, Nüsslein H G

机构信息

I. Medizinische Klinik Städtisches Klinikum Dresden-Friedrichstadt Friedrichstr. 41 D-01067 Dresden.

出版信息

Z Rheumatol. 2000 Oct;59(5):330-3.

Abstract

Case-reports from two female patients with an occlusion of the right external iliac artery and femoral artery are presented due to a large-vessel vasculitis. Both patients suffered from systemic lupus erythematosus This rare manifestation occurred within the first few years of the disease and was important for prognosis and further treatment. Other manifestations of the disease were general symptoms and polyarthritis. In one case the vasculitis was confirmed by histology. A fibrous thickening of the intima and a vasculitis of small vessels within the adventitia were the prominent feature. This observation supports the idea of small vessel vasculitis as the characteristic manifestation in lupus erythematosus.

摘要

本文报告了两例因大血管血管炎导致右髂外动脉和股动脉闭塞的女性患者的病例。两名患者均患有系统性红斑狼疮。这种罕见的表现发生在疾病的最初几年内,对预后和进一步治疗具有重要意义。该疾病的其他表现为全身症状和多关节炎。在一例中,血管炎通过组织学得到证实。内膜纤维性增厚和外膜内小血管的血管炎是突出特征。这一观察结果支持了小血管血管炎是系统性红斑狼疮特征性表现的观点。

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