Ito Hiroshi
Division of Hospital Medicine, University of Tsukuba Hospital, Tsukuba, JPN.
Cureus. 2020 Aug 31;12(8):e10167. doi: 10.7759/cureus.10167.
Eosinophilic granulomatosis with polyangiitis (EGPA) usually presents as a systemic vasculitis of small- and middle-sized blood vessels. There has been no report of this disorder accompanying aortic involvement. A 61-year-old woman with EGPA was admitted to the hospital because of type B aortic dissection. She was treated medically, and the lesion did not worsen during her hospitalization. EGPA can present as aortic involvement, and conservative treatment is useful in managing this condition. Clinicians should be aware of the possibility of aortic involvement in patients with EGPA who have sudden back pain.
嗜酸性肉芽肿性多血管炎(EGPA)通常表现为中小血管的系统性血管炎。目前尚无该疾病伴主动脉受累的报道。一名61岁的EGPA女性因B型主动脉夹层入院。她接受了药物治疗,住院期间病变未恶化。EGPA可表现为主动脉受累,保守治疗对处理这种情况有用。临床医生应意识到EGPA患者出现突发背痛时主动脉受累的可能性。