Schnabel Anja, Hedrich Christian M
Pädiatrische Rheumatologie, Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany.
Department of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Front Pediatr. 2019 Jan 10;6:421. doi: 10.3389/fped.2018.00421. eCollection 2018.
The term vasculitis covers heterogeneous disorders that share the presence of inflammation of blood vessel walls. Immune cell infiltrates can vary significantly and involve granulocytes or mononuclear cells. Vasculitis can be a symptom of other underlying disorders or the underlying cause of organ specific or systemic disease. Classification of childhood vasculitis is based on clinic, the size of predominantly affected vessels, and the histopathology of inflammatory infiltrates. Timely and accurate diagnosis and (where necessary) treatment initiation determine disease progression and outcomes. In light of new developments and the identification of autoinflammatory conditions with vasculitis, new classification tools may be discussed.
血管炎这一术语涵盖了多种不同的疾病,这些疾病都存在血管壁炎症。免疫细胞浸润情况差异很大,可涉及粒细胞或单核细胞。血管炎可能是其他潜在疾病的症状,也可能是器官特异性疾病或全身性疾病的根本原因。儿童血管炎的分类基于临床症状、主要受累血管的大小以及炎症浸润的组织病理学。及时准确的诊断以及(必要时)开始治疗决定了疾病的进展和预后。鉴于新的进展以及与血管炎相关的自身炎症性疾病的发现,可能会讨论新的分类工具。