Haridas Vikram, Haridas Kiran
Department of Medicine, SDM Medical College and Hospital, Dharwad, Karnataka.
Clinical Pharmacologist, Bangalore.
J Assoc Physicians India. 2017 Mar;65(3):102-103.
Granulomatosis with Polyangiitis (GPA) is a rare disease with varied clinical manifestations. We present a case of GPA which manifested initially with symptoms suggestive of meningeal tuberculosis. High index of suspicion and collective review of all clinical features helped in the correct diagnosis. Treatment of this case with rituximab provided significant symptomatic relief.
肉芽肿性多血管炎（GPA）是一种临床表现多样的罕见疾病。我们报告一例GPA病例，该病例最初表现出提示结核性脑膜炎的症状。高度的怀疑指数以及对所有临床特征的综合评估有助于做出正确诊断。用利妥昔单抗治疗该病例可显著缓解症状。
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