Transplant Center, Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Cleve Clin J Med. 2012 Nov;79 Suppl 3:S27-30. doi: 10.3949/ccjm.79.s3.06.
Diagnosis of the pulmonary manifestations of small-vessel vasculitis requires attention to detail, judicious use of imaging technology, and awareness of disorders that can mimic or masquerade as pulmonary vasculitis. Treatment should begin with pharmacologic intervention to manage the underlying inflammatory disorder. Dilation procedures and, in rare cases, surgery may be needed to resolve airway stenosis.
诊断小血管血管炎的肺部表现需要注重细节,明智地使用影像学技术,并了解可能模仿或伪装为肺血管炎的疾病。治疗应从药物干预开始,以控制潜在的炎症性疾病。在某些情况下可能需要扩张程序和手术来解决气道狭窄。