以胸痛为表现的肉芽肿性多血管炎：一例报告
Granulomatosis With Polyangiitis Presenting as Chest Pain: A Case Report.
作者信息
Fentie Kindalem, Singanamala Swathi, Hozayen Omar, Altaf Lareb
机构信息
Medicine, Trinity Medical Sciences University, Warner Robins, USA.
Nephrology, Piedmont HealthCare, Macon, USA.
出版信息
Cureus. 2023 Apr 27;15(4):e38204. doi: 10.7759/cureus.38204. eCollection 2023 Apr.
Abstract
Granulomatosis with polyangiitis (GPA) is a relatively rare systemic autoimmune disorder of small and medium size blood vessels affecting multiple organs with a wide range of clinical presentations. We present a 57-year-old Caucasian male who presented to the ER with midsternal chest pain. He was hospitalized for non-ST elevated myocardial infarction (NSTEMI) and later diagnosed with pauci-immune necrotizing crescentic glomerulonephritis confirmed with renal biopsy.
摘要
肉芽肿性多血管炎（GPA）是一种相对罕见的累及中小血管的系统性自身免疫性疾病，可影响多个器官，临床表现多样。我们报告一名57岁的白种男性，因胸骨后胸痛就诊于急诊室。他因非ST段抬高型心肌梗死（NSTEMI）住院，后来经肾活检确诊为寡免疫坏死性新月体性肾小球肾炎。
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Cureus. 2021 Jan 5;13(1):e12515. doi: 10.7759/cureus.12515.
2
The value of anti-neutrophil cytoplasmic antibodies (ANCA) testing for the diagnosis of ANCA-associated vasculitis, a systematic review and meta-analysis.抗中性粒细胞胞浆抗体（ANCA）检测在诊断抗中性粒细胞胞浆抗体相关性血管炎中的价值：一项系统评价和荟萃分析。
Autoimmun Rev. 2021 Jan;20(1):102716. doi: 10.1016/j.autrev.2020.102716. Epub 2020 Nov 13.
3
Pauci-immune Glomerulonephritis in Systemic Lupus Erythematosus (SLE).系统性红斑狼疮（SLE）中的寡免疫性肾小球肾炎
Cureus. 2018 Jul 9;10(7):e2949. doi: 10.7759/cureus.2949.
4
ANCA-associated vasculitis.抗中性粒细胞胞浆抗体相关性血管炎
Clin Med (Lond). 2017 Feb;17(1):60-64. doi: 10.7861/clinmedicine.17-1-60.
5
The Many Faces of Granulomatosis With Polyangiitis: A Review of the Head and Neck Imaging Manifestations.多发性肉芽肿性血管炎的多面性：头颈部影像学表现综述。
AJR Am J Roentgenol. 2015 Dec;205(6):W619-29. doi: 10.2214/AJR.14.13864.
6
Cardiac Involvement in Granulomatosis with Polyangiitis.肉芽肿性多血管炎的心脏受累情况
J Rheumatol. 2015 Jul;42(7):1209-12. doi: 10.3899/jrheum.141513. Epub 2015 May 1.
7
Granulomatosis with polyangiitis (Wegener): clinical aspects and treatment.肉芽肿性多血管炎（韦格纳）：临床特征和治疗。
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