Tokonami Ayuko, Ohta Ryuichi, Katagiri Noritaka, Yoshioka Naho, Yamane Fumiko, Sano Chiaki
Medicine, Shimane University Faculty of Medicine, Izumo, JPN.
Community Care, Unnan City Hospital, Unnan, JPN.
Cureus. 2022 Aug 3;14(8):e27651. doi: 10.7759/cureus.27651. eCollection 2022 Aug.
Autoimmune vasculitis is an autoimmune disease that causes various systemic symptoms, such as fever, fatigue, joint pain, and night sweats. Its clinical course depends on the severity of the inflammation, which can cause acute clinical progression of symptoms. Moreover, when the inflammation of the arteries occurs in the deeper parts of the body, a biopsy may be difficult to perform. Here, we report a case of autoimmune vasculitis in an elderly man who visited our hospital with a chief complaint of muscle pain and fever triggered by a rapid paralysis of both lower limbs. Autoimmune vasculitis can cause a variety of systemic symptoms depending on the size of involved arteries, and its clinical course depends on the severity of the inflammation. Prompt diagnosis and simultaneous treatment of symptoms, excluding other likely diseases, prevent the development of severe and long-term complications of autoimmune vasculitis.
自身免疫性血管炎是一种自身免疫性疾病，可导致各种全身症状，如发热、疲劳、关节疼痛和盗汗。其临床病程取决于炎症的严重程度，炎症可导致症状的急性临床进展。此外，当动脉炎症发生在身体深部时，可能难以进行活检。在此，我们报告一例老年男性自身免疫性血管炎病例，该患者因双下肢迅速麻痹，以肌肉疼痛和发热为主诉前来我院就诊。根据受累动脉的大小，自身免疫性血管炎可导致多种全身症状，其临床病程取决于炎症的严重程度。及时诊断并同时治疗症状，排除其他可能的疾病，可预防自身免疫性血管炎严重和长期并发症的发生。
