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成功使用血浆置换治疗表现为弥漫性肺泡出血的肉芽肿性多血管炎。

Successful use of plasmapheresis for granulomatosis with polyangiitis presenting as diffuse alveolar hemorrhage.

机构信息

Division of Pulmonary Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.

出版信息

Pediatr Pulmonol. 2013 Jun;48(6):614-6. doi: 10.1002/ppul.22666. Epub 2012 Sep 4.

DOI:10.1002/ppul.22666
PMID:22949178
Abstract

Diffuse alveolar hemorrhage (DAH) is uncommon in pediatric patients and is a rare presenting sign of granulomatosis with polyangiitis (GPA). We present the case a 14-year-old girl who presented with respiratory failure secondary to DAH as the initial presenting sign of GPA. Her clinical course improved after initiation of plasmapheresis therapy and she is now in clinical remission.

摘要

弥漫性肺泡出血(DAH)在儿科患者中并不常见,是肉芽肿性多血管炎(GPA)的罕见表现。我们报告了一例 14 岁女孩的病例,她因 DAH 导致呼吸衰竭为 GPA 的首发表现。她在开始血浆置换治疗后临床情况改善,现在处于临床缓解期。

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