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内科医生眼中的血管炎:聚焦抗中性粒细胞胞浆抗体相关性血管炎

Vasculitis for the internist: focus on ANCA-associated vasculitis.

作者信息

Chaigne Benjamin, Guillevin Loïc

机构信息

Department of Internal Medicine, Hôpital Cochin, APHP, Université Paris Descartes, 27, rue du faubourg Saint-Jacques, 75679, Paris Cedex 14, France.

出版信息

Intern Emerg Med. 2017 Aug;12(5):577-585. doi: 10.1007/s11739-017-1683-z. Epub 2017 Jun 16.

Abstract

Vasculitides comprise several diseases affecting vessels of different sizes, mainly arteries, but also capillaries and veins. Antineutrophil cytoplasm antibody-associated vasculitides (AAVs) belong to the systemic necrotizing small-vessel vasculitis group that comprises granulomatosis with polyangiitis, microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis. Internists often see AAV patients, and although their outcomes are usually good, the disease can be responsible for morbidity and mortality. Herein, after reviewing the literature, we concentrate on selected aspects important for the internist, including classification, diagnostic dilemmas, treatment novelties, and follow-up.

摘要

血管炎包括几种影响不同大小血管的疾病,主要是动脉,但也包括毛细血管和静脉。抗中性粒细胞胞浆抗体相关性血管炎(AAV)属于系统性坏死性小血管炎组,包括肉芽肿性多血管炎、显微镜下多血管炎和嗜酸性肉芽肿性多血管炎。内科医生经常会诊治AAV患者,尽管其预后通常良好,但该疾病可能导致发病和死亡。在此,在回顾文献后,我们专注于对内科医生重要的特定方面,包括分类、诊断困境、治疗新进展和随访。

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