Madan Nikhil, Patel Vipul
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Newark Beth Israel Medical Center, New Jersey 07112, USA.
Case Rep Crit Care. 2021 Oct 26;2021:9921361. doi: 10.1155/2021/9921361. eCollection 2021.
Granulomatosis with polyangitis (GPA) is characterized by a necrotizing granulomatous vasculitis of small arteries and veins. It most commonly affects the upper and lower respiratory tract and kidneys. However, other organs including the gastrointestinal tract can be affected. Gastrointestinal manifestations of GPA are rare and can include ischemia, bowel infarction, and perforation. Hemorrhage is an extremely rare presentation of GPA. We present a case of a woman with GPA and pulmonary renal syndrome on treatment who presents with severe gastrointestinal hemorrhage.
肉芽肿性多血管炎（GPA）的特征是小动脉和小静脉的坏死性肉芽肿性血管炎。它最常累及上、下呼吸道和肾脏。然而，包括胃肠道在内的其他器官也可能受到影响。GPA的胃肠道表现罕见，可包括缺血、肠梗死和穿孔。出血是GPA极其罕见的表现形式。我们报告一例正在接受治疗的患有GPA和肺肾综合征的女性患者，该患者出现了严重的胃肠道出血。
