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以腮腺脓肿为表现的肉芽肿性多血管炎

Granulomatosis with polyangiitis presenting as a parotid gland abscess.

作者信息

Dias Blenda, Soares Daniela, Sampaio Patrick, Santiago Mittermayer

机构信息

Service of Rheumatology, Santa Isabel Hospital, Praça Almeida Couto 500, 40050-405 Salvador, BA, Brazil.

Service of Rheumatology, Santa Isabel Hospital, Praça Almeida Couto 500, 40050-405 Salvador, BA, Brazil ; Specialized Services in Rheumatology of Bahia, Rua Conde Filho 117, Graça, 40150-150 Salvador, BA, Brazil ; Department of Internal Medicine, Bahiana School of Medicine and Public Health, Avenida Dom João VI 275, Brotas, 40290-000 Salvador, BA, Brazil.

出版信息

Case Rep Med. 2015;2015:865108. doi: 10.1155/2015/865108. Epub 2015 Mar 1.

Abstract

Granulomatosis with polyangiitis (GPA) is a small-vessel vasculitis consisting of necrotizing granulomatous lesions in airways and focal necrotizing glomerulonephritis. However, it may affect other sites such as the skin, central nervous system, eyes, heart, gastrointestinal tract, and liver. We describe a rare case of GPA in which the initial manifestation was the involvement of the parotid gland mimicking a pyogenic abscess.

摘要

肉芽肿性多血管炎(GPA)是一种小血管炎,由气道中的坏死性肉芽肿性病变和局灶性坏死性肾小球肾炎组成。然而,它可能会影响其他部位,如皮肤、中枢神经系统、眼睛、心脏、胃肠道和肝脏。我们描述了一例罕见的GPA病例,其最初表现为腮腺受累,酷似化脓性脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c0/4359816/d44f793ed8fe/CRIM2015-865108.001.jpg

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