dos Santos Cristiane Engel, Dal Pizzol Vanessa Irusta, Aragão Salun Coelho, Rachid Filho Acir, Marques Fabrício Machado
Rev Bras Reumatol. 2013 Sep-Oct;53(5):441-3.
The pulmonary manifestations of ulcerative colitis (UC) are rare and include inflammation of small and large airways, parenchymal disease and serositis among others. A substantial proportion of patients with inflammatory bowel disease, particularly those with ulcerative colitis presents positive ANCA, most p-ANCA pattern. We present a case of patient with ulcerative colitis, with positive c-ANCA, which progressed to hemoptysis associated with radiological findings consistent with pulmonary vasculitis.
溃疡性结肠炎（UC）的肺部表现较为罕见，包括小气道和大气道炎症、实质性疾病以及浆膜炎等。相当一部分炎症性肠病患者，尤其是溃疡性结肠炎患者ANCA呈阳性，多数为p-ANCA型。我们报告一例溃疡性结肠炎患者，其c-ANCA呈阳性，病情进展为咯血，影像学表现符合肺血管炎。
