Department of Cardiovascular Medicine, Osaka City University Graduate School of Medicine, Japan.
Intern Med. 2021 Jun 15;60(12):1887-1891. doi: 10.2169/internalmedicine.6316-20. Epub 2021 Feb 1.
A 48-year-old woman without any medical history visited an outpatient clinic with a chief complaint of cough persisting for more than 1 year and was diagnosed with organizing pneumonia. Computed tomography showed wall thickening with luminal stenosis of the main branch vessels of the aorta, and a detailed examination including fluorodeoxyglucose-positron emission tomography revealed Takayasu arteritis. There have been some reports of combined organizing pneumonia in similar vasculitis cases, but Takayasu arteritis and organizing pneumonia have not been reported to be associated. This case can be referred to when considering the association of lung lesions with Takayasu arteritis.
一位 48 岁的女性,无任何病史,因持续 1 年以上的咳嗽到门诊就诊,被诊断为机化性肺炎。计算机断层扫描显示主动脉主要分支血管的壁增厚伴管腔狭窄,详细检查包括氟脱氧葡萄糖正电子发射断层扫描显示为 Takayasu 动脉炎。在类似的血管炎病例中,已有一些关于合并性机化性肺炎的报道,但 Takayasu 动脉炎和机化性肺炎尚未被报道有关联。在考虑与 Takayasu 动脉炎相关的肺部病变时,可以参考本病例。