Kochar Tanureet, Bourji Khalil, Sarakbi Housam
Sleep Medicine, Wayne State University Detroit Medical Center, Detroit, USA.
Rheumatology, Wayne State University Detroit Medical Center, Detroit, USA.
Cureus. 2020 Sep 21;12(9):e10576. doi: 10.7759/cureus.10576.
Vasculitis mimickers are structural or pathologic entities that resemble the vasculitis clinical presentation and/or diagnostic findings. Their presence can be a conundrum, and physicians require careful assessment and adequate knowledge physicians when considering a diagnosis of vasculitis. Although they are considered mimickers, the therapeutic approach for most of them differs widely from that of vasculitis as high-dose steroids and potent immunosuppressive regimens are usually indicated in the latter. In fact, steroid therapy is contraindicated and is considered harmful in some of these mimickers (e.g. segmental arterial mediolysis). Therefore, it is important to distinguish them from vasculitis to prevent complications from immunosuppressive therapy. Hereby, we present a challenging case of a 64-year-old man who presented with acute gangrenous changes on his right fingers due to arterial thrombus after trauma resembling vasculitis.
血管炎模仿者是指在临床表现和/或诊断结果上类似于血管炎的结构或病理实体。它们的存在可能是一个难题，医生在考虑血管炎诊断时需要仔细评估并具备足够的知识。尽管它们被视为模仿者，但大多数血管炎模仿者的治疗方法与血管炎有很大不同，因为后者通常需要大剂量类固醇和强效免疫抑制方案。事实上，类固醇治疗在某些血管炎模仿者中是禁忌的，甚至被认为是有害的（例如节段性动脉中层溶解）。因此，将它们与血管炎区分开来以防止免疫抑制治疗的并发症非常重要。在此，我们介绍一例具有挑战性的病例，一名64岁男性，因外伤后动脉血栓形成导致右手手指出现急性坏疽性改变，临床表现类似于血管炎。
