Armbruster C, Vetter N
II. Interne Lungenabteilung des Pulmologischen Zentrums, Stadt Wien, Osterreich.
Pneumologie. 1991 Jan;45(1):28-31.
A case of a 37-year old female patient suffering from Wegener's granulomatosis is reported. The chest x-ray showed a tumorous consolidation of the right upper lobe and of the apical segment of the right lower lobe. The histological examination of the lung, the kidney and the spleen revealed necrotising granulomas typical of Wegener's granulomatosis. Additionally, a thyroiditis lymphomatosa Hashimoto was diagnosed. So far, coincidence of thyroiditis Hashimoto and Wegener's granulomatosis has not been reported in the literature. The involvement of the spleen was a rare manifestation of Wegener's granulomatosis.
报告了一例37岁患有韦格纳肉芽肿病的女性患者。胸部X光显示右上叶和右下叶尖段有肿瘤样实变。对肺、肾和脾的组织学检查发现了韦格纳肉芽肿病典型的坏死性肉芽肿。此外,还诊断出桥本氏淋巴细胞性甲状腺炎。迄今为止,桥本氏甲状腺炎与韦格纳肉芽肿病的巧合在文献中尚未见报道。脾脏受累是韦格纳肉芽肿病的一种罕见表现。