Dechelotte P, Dauplat J, Philippe P, Sauvezie B, Fonck Y
Ann Pathol. 1985;5(3):217-9.
Histopathologic examination can sometimes provide unexpected indications. In this report giant cell arteritis of uterine vessels was found. It permitted to explain biological abnormalities presented by the patient who suffered of a particularly inflammatory syndrome. These abnormalities had been initially attributed to repetitive urinary infections due to third-degree uterine prolapse (associated bladder prolapse). The diagnosis of periarteritis nodosa (P.A.N.) was supported with the results of muscular biopsy. This diagnosis was confirmed by evolution: it showed secondary renal and hepatic damages. Finally three months after corticotherapy was undertaken, the general state was very improved.
组织病理学检查有时能提供意想不到的线索。在本报告中，发现了子宫血管的巨细胞动脉炎。这有助于解释患有特别炎症综合征的患者所出现的生物学异常。这些异常最初被归因于三度子宫脱垂（合并膀胱脱垂）导致的反复泌尿系统感染。结节性多动脉炎（P.A.N.）的诊断得到了肌肉活检结果的支持。病情发展证实了这一诊断：它显示出继发性肾和肝损害。最后，在进行皮质激素治疗三个月后，患者的总体状况有了很大改善。
