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局限性、单一器官血管炎:临床表现和治疗。

Localized, single-organ vasculitis: clinical presentation and management.

机构信息

Departamento de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15 Col. Sección XVI, Tlalpan, 14080, México, D.F., México.

出版信息

Clin Rheumatol. 2013 Jan;32(1):1-6. doi: 10.1007/s10067-012-2069-2. Epub 2012 Aug 24.

Abstract

The term vasculitis usually evokes a systemic disease with catastrophic outcomes; however, vasculitides may also present in a localized form, with a better prognosis when compared with their systemic counterpart. In order to avoid confusion and facilitate classification, the term single-organ vasculitis (SOV) has been proposed. Remarkably, current criteria for the classification of the vasculitis do not include the SOV term, due in part to the lack of appropriate definitions, since most data come from case series; moreover, the scarce information available is also extremely heterogeneous. This review focuses on the epidemiology, clinical course, prognosis, and suggested treatment of the SOV, with emphasis in the most recent information available.

摘要

血管炎这个术语通常会让人联想到一种预后较差的全身性疾病;然而,血管炎也可能以局部形式出现,与全身性疾病相比,其预后更好。为了避免混淆并便于分类,提出了“单一器官血管炎(SOV)”这一术语。值得注意的是,目前的血管炎分类标准并未包含 SOV 这一术语,部分原因是缺乏适当的定义,因为大多数数据来自病例系列;此外,现有的有限信息也极其多样化。这篇综述重点介绍了 SOV 的流行病学、临床病程、预后和治疗建议,并强调了最新的可用信息。

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