Nichols Larry, Karivelil Mathew Joseph
Mercer University School of Medicine, Department of Pathology. Macon, GA, United States of America.
Mercer University School of Medicine. Macon, GA, United States of America.
Autops Case Rep. 2020 May 12;10(2):e2020175. doi: 10.4322/acr.2020.175.
Peripheral neuropathy is common, but rarely due to vasculitis. This report is the case of a 74-year-old woman with systemic vasculitis who presented with progressive arm and leg weakness associated with numbness. Autopsy revealed a colon cancer, which may have triggered the vasculitis. This case illustrates the association between vasculitis and malignancy. The best treatment of vasculitis in patients with cancer-associated vasculitis is usually treatment of the cancer, which often yields remission of the vasculitis. This case also illustrates the difficulty of suspecting vasculitis since the symptoms and signs are nonspecific and protean. It is important not to miss a diagnosis of vasculitis. It is often life-threatening. It is treatable. The critical step in the diagnosis of vasculitis is to think of it.
周围神经病变很常见，但很少由血管炎引起。本报告介绍了一名74岁患有系统性血管炎的女性病例，该患者出现进行性手臂和腿部无力并伴有麻木感。尸检发现患有结肠癌，这可能引发了血管炎。该病例说明了血管炎与恶性肿瘤之间的关联。对于癌症相关性血管炎患者，血管炎的最佳治疗方法通常是治疗癌症，这往往会使血管炎得到缓解。该病例还说明了怀疑血管炎的困难之处，因为症状和体征不具特异性且多种多样。不漏诊血管炎很重要。它常常危及生命。它是可治疗的。血管炎诊断的关键步骤是想到它。
