Hur Jee Hye, Chun Eun Ju, Kwag Hyon Joo, Yoo Jin Young, Kim Hae Young, Kim Jeong Jae, Lee Kyung Won
Department of Radiology, Seoul National University Bundang Hospital, Seongnam 13620, Korea.
Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea.
Korean J Radiol. 2017 Sep-Oct;18(5):786-798. doi: 10.3348/kjr.2017.18.5.786. Epub 2017 Jul 17.
Vasculitis, characterized by inflammation of vessel walls, is comprised of heterogeneous clinicopathological entities, and thus poses a diagnostic challenge. The most widely used approach for classifying vasculitides is based on the International Chapel Hill Consensus Conference (CHCC) nomenclature system. Based on the recently revised CHCC 2012, we propose computed tomography (CT) features of vasculitides and a differential diagnosis based on location and morphological characteristics. Finally, vasculitis mimics should be differentiated, because erroneous application of immunosuppressive drugs on vasculitis mimics may be ineffective, even deteriorating. This article presents the utility of CT in the diagnosis and differential diagnosis of vasculitides.
血管炎以血管壁炎症为特征,由多种临床病理实体组成,因此构成了诊断挑战。目前应用最广泛的血管炎分类方法是基于国际 Chapel Hill 共识会议(CHCC)命名系统。基于最近修订的 2012 年 CHCC,我们提出了血管炎的计算机断层扫描(CT)特征以及基于部位和形态特征的鉴别诊断。最后,应鉴别血管炎的模仿者,因为对血管炎模仿者错误应用免疫抑制药物可能无效,甚至会恶化。本文介绍了 CT 在血管炎诊断和鉴别诊断中的应用。