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韦格纳肉芽肿病中的肾血管造影。与结节性多动脉炎的比较。

Nephroangiography in Wegener's granulumatosis. A comparison with panarteritis nodosa.

作者信息

Lundström B, Lindqvist B, Söderbergh H, Wentzel T, Hallmans G

出版信息

Acta Radiol Diagn (Stockh). 1975 Nov;16(6):641-53. doi: 10.1177/028418517501600612.

Abstract

Three cases of Wegener's granulomatosis with a classical course are described, 2 of which with fatal outcome in spite of immuno-suppressive therapy. Nephroangiography was performed during the oliguric or anuric phase. The appearances were similar to those encountered in glomerulonephritis and were compared with those in three cases of panarteritis nodosa. Two of these represented the classical form with intrarenal arterial aneurysms; the third was a case of the microscopic type presenting blurred intrarenal arteries with lumen variations and occlusions. These observations support the opinion that Wegener's granulomatosis nodosa are different diseases. Nephroangiography seems to be of value in their differentiation.

摘要

本文描述了3例具有典型病程的韦格纳肉芽肿病,其中2例尽管接受了免疫抑制治疗仍预后不良。在少尿期或无尿期进行了肾血管造影。其表现与肾小球肾炎相似,并与3例结节性多动脉炎进行了比较。其中2例表现为具有肾内动脉瘤的典型形式;第3例为显微镜下类型,表现为肾内动脉模糊,伴有管腔变化和闭塞。这些观察结果支持以下观点,即韦格纳肉芽肿病和结节性多动脉炎是不同的疾病。肾血管造影在它们的鉴别诊断中似乎具有重要价值。

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