Lawton Adam, Machta Joseph, Semple Thomas, Gupta Atul
Dept of Paediatrics, Royal London Hospital, London, UK.
Royal Free London NHS Foundation Trust, Dept of Paediatrics, London, UK.
Breathe (Sheff). 2020 Dec;16(4):200211. doi: 10.1183/20734735.0211-2020.
The systemic vasculitides are a heterogenous group of rare conditions with an incompletely understood aetiology. Any of the systemic vasculitides may cause respiratory disease, but some conditions are more likely to affect the pulmonary system, often through pulmonary infarction and diffuse alveolar haemorrhage. These conditions are often difficult to diagnose due to their rarity and significant clinical overlap with common respiratory conditions. Prompt diagnosis and management can significantly reduce morbidity and mortality.
系统性血管炎是一组病因尚未完全明确的罕见疾病。任何一种系统性血管炎都可能导致呼吸系统疾病,但某些疾病更易累及肺部系统,通常是通过肺梗死和弥漫性肺泡出血。由于这些疾病罕见且与常见呼吸系统疾病在临床症状上有显著重叠,因此常常难以诊断。及时诊断和治疗可显著降低发病率和死亡率。