Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain.
Arch Bronconeumol. 2012 Nov;48(11):410-8. doi: 10.1016/j.arbres.2012.04.007. Epub 2012 Jun 6.
Respiratory tract affectation is frequent in some types of vasculitis, fundamentally in those associated with anti-neutrophil cytoplasmic antibodies (ANCA). The clinical, radiological and histopathological presentation is also heterogeneous and conditions the evolution. It is therefore necessary to establish an early diagnosis based on the symptoms because, thanks to new treatments, and despite them being potentially serious diseases, their prognosis has improved considerably in recent years. The present paper updates the diagnosis and the new therapeutic options for pulmonary vasculitis.
呼吸道受累在某些类型的血管炎中较为常见,主要是与抗中性粒细胞胞浆抗体(ANCA)相关的血管炎。其临床表现、影像学表现和组织病理学表现也具有异质性,并且影响疾病的进展。因此,有必要基于症状进行早期诊断,因为近年来,由于新的治疗方法的出现,尽管这些疾病具有潜在的严重性,但它们的预后已经有了显著改善。本文更新了肺部血管炎的诊断和新的治疗选择。