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韦格纳肉芽肿的肺部表现:57例患者的CT表现及文献复习

Pulmonary manifestations of wegener granulomatosis: CT findings in 57 patients and a review of the literature.

作者信息

Lohrmann Christian, Uhl Markus, Kotter Elmar, Burger Dieter, Ghanem Nadir, Langer Mathias

机构信息

Division of Diagnostic Radiology, Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D- 79106, Freiburg i. Br, Germany.

出版信息

Eur J Radiol. 2005 Mar;53(3):471-7. doi: 10.1016/j.ejrad.2004.04.016.

Abstract

Wegener granulomatosis is a multisystem disease of unknown cause characterized by a necrotizing granulomatous vasculitis. In comparison to other vasculitides, the lung is the most common organ involved in wegener granulomatosis presenting with a very aggressive airways pathology and chronic relapsing course. Chest radiographs fail to describe the pattern and distribution of thoracic pathology sufficiently, and CT has shown to be more sensitive for detecting lung involvement. We present the CT findings of 57 patients with wegener granulomatosis and a review of the literature.

摘要

韦格纳肉芽肿病是一种病因不明的多系统疾病,其特征为坏死性肉芽肿性血管炎。与其他血管炎相比,肺是韦格纳肉芽肿病最常受累的器官,表现为极具侵袭性的气道病变和慢性复发病程。胸部X线片不足以充分描述胸部病变的形态和分布,而CT已显示出在检测肺部受累方面更为敏感。我们展示了57例韦格纳肉芽肿病患者的CT表现并对文献进行了综述。

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