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一位老年男性患惰性显微镜下多血管炎的罕见病例:病例报告及简要综述

A unique case of indolent microscopic polyangiitis in an elderly gentleman: a case report and brief review.

作者信息

Tan Clement, Perara Jithmy, Kumar Pranav

机构信息

Department of General Medicine/Respiratory Medicine, Mackay Base Hospital, Mackay, Queensland, Australia.

出版信息

Arch Clin Cases. 2023 Dec 28;10(4):205-209. doi: 10.22551/2023.41.1004.10276. eCollection 2023.

Abstract

Antineutrophil cytoplasmic autoantibody associated vasculitides has 3 different types: Granulomatosis with polyangiitis, eosinophilic granulomatosis and polyangiitis and microscopic polyangiitis. These vasculitides manifest differently based on which area of small and medium size vessels in our bodies that it affects. In this case report, we discuss a unique case of microscopic polyangiitis diagnosed in a 75-year-old male who was relatively asymptomatic i.e. indolent, apart from nodules present in the lung with the use of the diagnostic criteria outlined by 2022 American College of Rheumatology and European Alliance of Associations for Rheumatology. In addition, we reviewed briefly about vasculitis, its epidemiology and the workup of microscopic polyangiitis.

摘要

抗中性粒细胞胞浆自身抗体相关血管炎有3种不同类型:肉芽肿性多血管炎、嗜酸性肉芽肿性多血管炎和显微镜下多血管炎。这些血管炎根据其在我们体内影响的中小血管区域不同而表现各异。在本病例报告中,我们讨论了一例独特的显微镜下多血管炎病例,该病例为一名75岁男性,除肺部有结节外相对无症状,即病情进展缓慢,诊断采用了2022年美国风湿病学会和欧洲抗风湿病联盟协会概述的诊断标准。此外,我们简要回顾了血管炎、其流行病学以及显微镜下多血管炎的检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e4/10754038/2f2d4cde1115/acc-10-04-10276-g001.jpg

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