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COVID-19 相关肉芽肿伴多血管炎。

COVID-19-induced granulomatosis with polyangiitis.

机构信息

Hospital Medicine, Miriam Hospital, Providence, Rhode Island, USA

Internal Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.

出版信息

BMJ Case Rep. 2021 Mar 18;14(3):e242142. doi: 10.1136/bcr-2021-242142.

Abstract

COVID-19 and granulomatosis with polyangiitis share many clinical and radiological features, making it challenging for clinicians to distinguish between the two. In this case report, we describe a patient who was diagnosed with COVID-19 in October 2020. One month later, she presented with persistent fatigue, shortness of breath and anaemia with worsening renal functions, found to have elevated antineutrophil cytoplasmic antibodies and antiproteinase 3 antibodies, and diagnosed with granulomatosis with polyangiitis.

摘要

COVID-19 和肉芽肿性多血管炎有许多相似的临床和影像学特征,这使得临床医生难以区分两者。本病例报告描述了一位 2020 年 10 月确诊 COVID-19 的患者。一个月后,她出现持续性疲劳、呼吸急促和贫血,肾功能恶化,检查发现抗中性粒细胞胞浆抗体和抗蛋白酶 3 抗体升高,诊断为肉芽肿性多血管炎。

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