Defuentes G, Cremades S, Carmoi T, Ficko C, Mangouka L, Dutasta F, Nielly H, Margery J, Berets O
Service de médecine interne, hôpital d'instruction des armées Percy, Clamart, France.
Rev Pneumol Clin. 2010 Oct;66(5):295-301. doi: 10.1016/j.pneumo.2010.07.002. Epub 2010 Sep 17.
The pleuropulmonary manifestations of necrotising vasculitis are frequent and polymorphic. If the existence of extrapulmonary signs and the presence of neutrophil polynuclear anticytoplasmic antibodies are helpful for the diagnosis of a bout of vasculitis, the existence of pleuropulmonary symptoms can also make for discussion of infections or iatrogenic effects induced by immunosuppressive treatments.
坏死性血管炎的胸膜肺部表现常见且多样。如果肺外体征的存在以及中性粒细胞多核抗细胞质抗体有助于血管炎发作的诊断，那么胸膜肺部症状的存在也会引发关于免疫抑制治疗引起的感染或医源性效应的讨论。
