Chen Ling, Ma Ting, Wang Liang, Wang Lixin, Li Minmin, Zhu Rong
The Huai'an Clinical College of Xuzhou Medical University, Huai'an, Jiangsu 223300, China.
Department of Respiratory Medicine, Huai'an First People's Hospital, Huai'an, Jiangsu 223300, China.
J Biomed Res. 2022 Mar 28;36(2):141-144. doi: 10.7555/JBR.36.20210190.
Takayasu arteritis (TA) is a chronic, nonspecific inflammatory disease of large and medium-sized vessels that primarily involves the aorta and its branches. TA involving the pulmonary arteries has a prevalence ranging from 14% to 86%, which can lead to pulmonary hypertension, a progressive increase in pulmonary artery pressure, and eventually death from right heart failure. The presentation of pulmonary arteritis (PA) is very nonspecific, with a reported misdiagnosis rate of up to 60% and a diagnosis time ranging from 1 month to more than 10 years. The clinical manifestation of pleural effusion is very rare in both TA and PA cases. Based on our literature review, this is the 6 reported case of TA with pleural effusion, and the specific mechanism of TA with pleural effusion is still unclear. The characteristics of this case and the previously reported cases are summarized in this article to improve the understanding of TA and PA and reduce the misdiagnosis rate.
高安动脉炎（TA）是一种累及大、中血管的慢性非特异性炎症性疾病，主要侵犯主动脉及其分支。TA累及肺动脉的发生率为14%至86%，可导致肺动脉高压，即肺动脉压力进行性升高，最终因右心衰竭死亡。肺动脉炎（PA）的表现非常不特异，报道的误诊率高达60%，诊断时间从1个月到10多年不等。TA和PA病例中胸腔积液的临床表现都非常罕见。根据我们的文献回顾，这是第6例报道的伴有胸腔积液的TA病例，TA伴胸腔积液的具体机制仍不清楚。本文总结了该病例及既往报道病例的特点，以提高对TA和PA的认识并降低误诊率。
