嗜酸性肉芽肿性多血管炎的支气管内病变

Endobronchial Lesion in Eosinophilic Granulomatosis with Polyangiitis.

作者信息

Chen Guan-Liang, Wu Chun-Han, Perng Wann-Cherng

机构信息

Division of Pulmonary and Critical Care, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan AND Division of Chest Medicine and Respiratory Therapy, Department of Internal Medicine, Taichung Armed Forces General Hospital, Taichung, Taiwan.

Division of Pulmonary and Critical Care, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

出版信息

Iran J Allergy Asthma Immunol. 2017 Dec;16(6):561-564.

PMID:29338162

Abstract

Eosinophilic granulomatosis with polyangiitis is a systemic vasculitis. It could affect respiratory system, kidney, and central nervous system frequently; however, all body organs could be involved. Asthma and eosinophilic pneumonia are predominant manifestations in respiratory system. Bronchoalveolar lavage or lung biopsy may be used for diagnosis, but endobronchial lesion is not considered as a manifestation of eosinophilic granulomatosis with polyangiitis. Here we present a case of eosinophilic granulomatosis with polyangiitis with unusual endobronchial lesion which was confirmed by endobronchial biopsy.

摘要

嗜酸性肉芽肿性多血管炎是一种系统性血管炎。它常累及呼吸系统、肾脏和中枢神经系统；然而，全身所有器官均可能受累。哮喘和嗜酸性肺炎是呼吸系统的主要表现。支气管肺泡灌洗或肺活检可用于诊断，但支气管内病变不被视为嗜酸性肉芽肿性多血管炎的一种表现。在此，我们报告一例嗜酸性肉芽肿性多血管炎患者，其具有不寻常的支气管内病变，经支气管活检得以确诊。