Hirata Shintaro, Hattori Noboru, Ishikawa Nobuhisa, Fujitaka Kazunori, Kumagai Kazuhiko, Taooka Yasuyuki, Haruta Yoshinori, Yokoyama Akihito, Kohno Nobuoki
Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Hiroshima, Japan.
Mod Rheumatol. 2008;18(1):100-4. doi: 10.1007/s10165-007-0016-x. Epub 2007 Dec 26.
A 76-year-old woman with pulmonary asbestosis was admitted with fever and polymyalgia. She subsequently developed a visual disorder, hemoptysis, and hemoperitoneum. A biopsy of the temporal artery revealed the presence of giant-cell arteritis. CT and angiography showed hemorrhaging from the bronchial and abdominal arteries. These observations suggested temporal arteritis in which medium-sized vessels were involved. This case implies the association between vasculitis and asbestosis, and suggests a problem in the classification of vasculitides.
一名76岁患有肺石棉沉着病的女性因发热和多肌痛入院。随后她出现了视觉障碍、咯血和腹腔积血。颞动脉活检显示存在巨细胞动脉炎。CT和血管造影显示支气管和腹主动脉出血。这些观察结果提示累及中等大小血管的颞动脉炎。该病例提示血管炎与石棉沉着病之间存在关联，并提示血管炎分类存在问题。
