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[高安动脉炎的暴发性病程及罕见的肠系膜动脉受累]

[Fulminant course of a Takayasu's arteritis and rare mesenteric arterial maninfestion].

作者信息

Simon S, Schittko G, Bösenberg H, Holl-Ulrich K, Schwarz-Eywill M

机构信息

Medizinische Klinik, Evangelisches Krankenhaus, Steinweg 13-17, 26122 Oldenburg.

出版信息

Z Rheumatol. 2006 Oct;65(6):520, 522-6. doi: 10.1007/s00393-005-0023-2.

Abstract

Takayasu's arteritis is a systemic disease, presenting as chronic inflammation of the main arteries. It usually affects the aorta and its large branches. General symptoms often include fatigue, subfebrile temperatures and weight loss. Complaints due to perfusion disorders are, for example, muscle pain, dizziness or claudication. Takayasu's arteritis is a rare disease which generally occurs in female patients under 40 years of age. We report on a patient with primary involvement of the mesenteric arteries. The disease process was fulminant and refractory to all therapeutic strategies. According to our knowledge this is the first case report from Germany of Takayasu's arteritis with mesenteric infarction.

摘要

高安动脉炎是一种全身性疾病,表现为主要动脉的慢性炎症。它通常影响主动脉及其大分支。一般症状常包括疲劳、低热和体重减轻。因灌注障碍引起的症状例如有肌肉疼痛、头晕或间歇性跛行。高安动脉炎是一种罕见疾病,通常发生在40岁以下的女性患者中。我们报告了一例以肠系膜动脉原发性受累的患者。疾病过程呈暴发性,对所有治疗策略均无效。据我们所知,这是德国首例关于高安动脉炎伴肠系膜梗死的病例报告。

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