Gauchotte E, Gauchotte G, Marie B, Pruna L, Koebele A
Service de gynécologie, maternité régionale universitaire, hôpital central, CHRU, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
J Gynecol Obstet Biol Reprod (Paris). 2009 Oct;38(6):521-3. doi: 10.1016/j.jgyn.2009.04.005. Epub 2009 May 23.
Isolated lesions of vasculitis are described in different organs, notably female genital tract. Exhaustive clinic and paraclinic exams are necessary to exclude an occult systemic vasculitis. We report a case of vasculitis that was restricted to uterine cervix and isthmus, fortuitously discovered by a 45-years-old woman after hysterectomy. At histological examination, necrotizing vasculitis of small and medium-sized arteries was found, suggesting diagnosis of polyarteritis nodosa. There was no argument for systemic vasculitis.
不同器官均有孤立性血管炎病变的描述,尤其是女性生殖道。必须进行详尽的临床和辅助检查以排除隐匿性系统性血管炎。我们报告一例局限于子宫颈和峡部的血管炎病例,一名45岁女性在子宫切除术后偶然发现。组织学检查发现中小动脉坏死性血管炎,提示结节性多动脉炎的诊断。没有证据支持系统性血管炎。