Montanaro A
Division of Allergy and Clinical Immunology, Oregon Health Sciences University, Portland.
Geriatrics. 1988 Mar;43(3):75-6, 79-83, 86.
Vasculitis is commonly considered in the differential diagnosis of systemic disease in the elderly. Because the spectrum of vasculitis is so variable, it is useful to utilize a classification system that limits the diagnostic options. Classification systems based on potential pathologic mechanisms or specific histologic findings are of limited usefulness in the initial assessment of an elderly patient. A classification system based on the clinical features exhibited will be discussed in the context of vasculitic syndromes which may present in the elderly. While this approach is by no means comprehensive, it should allow the correct diagnosis of vasculitis in the majority of cases. Common and unique presentations of vasculitis in the elderly will also be discussed.
血管炎通常被纳入老年人系统性疾病的鉴别诊断中。由于血管炎的范围变化很大，采用一种限制诊断选项的分类系统会很有用。基于潜在病理机制或特定组织学发现的分类系统在老年患者的初始评估中用处有限。将在可能出现在老年人中的血管炎综合征的背景下讨论基于所表现出的临床特征的分类系统。虽然这种方法绝不是全面的，但它应该能在大多数情况下正确诊断血管炎。还将讨论老年人血管炎的常见和独特表现。
