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显微镜下多血管炎导致弥漫性肺泡出血和快速进行性肾小球肾炎。

Microscopic polyangiitis causing diffuse alveolar hemorrhage and rapidly progressive glomerulonephritis.

作者信息

Lababidi Mohamad Hani, Odigwe Chibuzo, Okolo Chukwuka, Elhassan Ahmed, Iroegbu Nkemakolam

机构信息

Department of Medicine, St. Joseph Hospital, Chicago, Illinois.

出版信息

Proc (Bayl Univ Med Cent). 2015 Oct;28(4):469-71. doi: 10.1080/08998280.2015.11929311.

Abstract

Diffuse alveolar hemorrhage complicating small vessel vasculitis is a life-threatening emergency and should be considered in the differential diagnosis of patients who develop rapidly progressive dyspnea with alveolar opacities on chest imaging. In these patients, the coexistence of pulmonary and renal involvement suggests a multisystem disease. We present a case of a man who presented to our hospital with diffuse alveolar hemorrhage, severe anemia, and rapidly progressive glomerulonephritis.

摘要

弥漫性肺泡出血并发小血管炎是一种危及生命的急症,对于胸部影像学显示有肺泡浸润且迅速进展为呼吸困难的患者进行鉴别诊断时应考虑此病。在这些患者中,肺部和肾脏受累提示存在多系统疾病。我们报告一例男性患者,他因弥漫性肺泡出血、严重贫血和快速进展性肾小球肾炎前来我院就诊。

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[Diffuse alveolar hemorrhage: Causes and outcomes in a referral center].[弥漫性肺泡出血:转诊中心的病因及转归]
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Diffuse alveolar hemorrhage: diagnosing it and finding the cause.弥漫性肺泡出血:诊断及病因查找
Cleve Clin J Med. 2008 Apr;75(4):258, 260, 264-5 passim. doi: 10.3949/ccjm.75.4.258.
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Pulmonary involvement in microscopic polyangiitis.显微镜下多血管炎的肺部受累情况。
Curr Opin Pulm Med. 2005 Sep;11(5):447-51. doi: 10.1097/01.mcp.0000170520.63874.fb.

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