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一名64岁女性患者抗中性粒细胞胞浆抗体阳性的肉芽肿性多血管炎累及乳腺

Breast Involvement in Anti-Neutrophil Cytoplasmic Antibodies Positive Granulomatosis With Polyangiitis in a 64-Year-Old Female Patient.

作者信息

Ryba Monika, Konieczny Andrzej, Hruby Zbigniew

机构信息

Department of Nephrology, Voivodship Specialty Hospital, Center For Research and Development, Wroclaw, Poland.

出版信息

Arch Rheumatol. 2017 Apr 13;32(4):358-360. doi: 10.5606/ArchRheumatol.2017.6321. eCollection 2017 Dec.

Abstract

In this article, we present a case of a female patient suffering from granulomatosis and polyangiitis with active glomerular disease, who developed exacerbation of pulmonary vasculitis and palpable tumors of right breast. A possibility of neoplastic disease was excluded by histopathological examination of percutaneous biopsy specimen, revealing granulomatous inflammatory infiltrate, without any features of neoplasia. Moreover, both pulmonary and breast lesions subsided following intensification of immunosuppressive/antiinflammatory treatment.

摘要

在本文中,我们报告了一例患有肉芽肿性多血管炎且伴有活动性肾小球疾病的女性患者,该患者出现了肺血管炎加重及右乳可触及肿物的情况。经皮活检标本的组织病理学检查排除了肿瘤性疾病的可能性,显示为肉芽肿性炎性浸润,无任何肿瘤特征。此外,在强化免疫抑制/抗炎治疗后,肺部和乳腺病变均消退。

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[Bilateral pulmonary embolism revealing granulomatosis with polyangiitis].[双侧肺栓塞揭示显微镜下多血管炎]
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