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超越印度的肺炎和哮喘:一例有趣的变应性肉芽肿性血管炎病例

Looking Beyond Pneumonia and Asthma in India: An Interesting Case of Churg-Strauss Syndrome.

作者信息

Kumar Ashok, Gaba Manish, Kumar Naveen, Kumar Ashok

机构信息

Internal Medicine, Max Smart Super Specialty Hospital, Saket, New Delhi, IND.

Internal Medicine, Max Smart Super Specialty Hospital, Saket, Delhi, IND.

出版信息

Cureus. 2024 Aug 8;16(8):e66416. doi: 10.7759/cureus.66416. eCollection 2024 Aug.

DOI:10.7759/cureus.66416
PMID:39246977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380088/
Abstract

Churg-Strauss syndrome is a rare multisystem disorder characterized by asthma, eosinophilia, and vasculitis. The patient presented with prolonged fever, cough with blood-stained sputum, weight loss, pain in the abdomen, and a subsequent onset of hoarseness of voice. A history of asthma, left-side vocal cord paralysis, eosinophilia, nodular opacities on radiography, and eosinophilic duodenitis on biopsy led to a diagnosis of Churg-Strauss syndrome. The patient's condition improved on treatment with steroids. This is an interesting case and presents an opportunity to learn about Churg-Strauss syndrome.

摘要

变应性肉芽肿性血管炎是一种罕见的多系统疾病,其特征为哮喘、嗜酸性粒细胞增多和血管炎。该患者表现为长期发热、咳血痰、体重减轻、腹痛,随后出现声音嘶哑。哮喘病史、左侧声带麻痹、嗜酸性粒细胞增多、影像学检查显示结节状阴影以及活检发现嗜酸性粒细胞性十二指肠炎,这些表现导致了变应性肉芽肿性血管炎的诊断。患者经类固醇治疗后病情好转。这是一个有趣的病例,为了解变应性肉芽肿性血管炎提供了机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/c31dd8e1af9d/cureus-0016-00000066416-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/e1387b3cd10a/cureus-0016-00000066416-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/7106252fbc00/cureus-0016-00000066416-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/238248910382/cureus-0016-00000066416-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/816546ee8afc/cureus-0016-00000066416-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/a10a6ee33a28/cureus-0016-00000066416-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/77bd2fbec9e0/cureus-0016-00000066416-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/c31dd8e1af9d/cureus-0016-00000066416-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/e1387b3cd10a/cureus-0016-00000066416-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/7106252fbc00/cureus-0016-00000066416-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/238248910382/cureus-0016-00000066416-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/816546ee8afc/cureus-0016-00000066416-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/a10a6ee33a28/cureus-0016-00000066416-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/77bd2fbec9e0/cureus-0016-00000066416-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2d/11380088/c31dd8e1af9d/cureus-0016-00000066416-i07.jpg

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本文引用的文献

1
What's behind your eosinophilic myocarditis? A case of Churg-Strauss syndrome diagnosed during acute heart failure.嗜酸粒细胞性心肌炎的病因是什么?一例在急性心力衰竭期间诊断的 Churg-Strauss 综合征。
ESC Heart Fail. 2023 Feb;10(1):709-715. doi: 10.1002/ehf2.14172. Epub 2022 Oct 19.
2
Churg-Strauss Syndrome Along with Cardiac Complications.变应性肉芽肿性血管炎伴心脏并发症
Int J Appl Basic Med Res. 2021 Jan-Mar;11(1):50-52. doi: 10.4103/ijabmr.IJABMR_200_20. Epub 2021 Jan 26.
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Mepolizumab or Placebo for Eosinophilic Granulomatosis with Polyangiitis.
美泊利单抗或安慰剂用于嗜酸性肉芽肿性多血管炎
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Rituximab for the treatment of eosinophilic granulomatosis with polyangiitis (Churg-Strauss).利妥昔单抗治疗嗜酸性肉芽肿伴多血管炎(Churg-Strauss)。
Ann Rheum Dis. 2016 Feb;75(2):396-401. doi: 10.1136/annrheumdis-2014-206095. Epub 2014 Dec 2.
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Neuro-laryngeal involvement in Churg-Strauss syndrome.变应性肉芽肿性血管炎的神经-喉受累情况。
Eur Arch Otorhinolaryngol. 1998;255(6):302-6. doi: 10.1007/s004050050064.
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Prognostic factors in polyarteritis nodosa and Churg-Strauss syndrome. A prospective study in 342 patients.结节性多动脉炎和变应性肉芽肿性血管炎的预后因素。一项对342例患者的前瞻性研究。
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7
The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis).美国风湿病学会1990年变应性肉芽肿性血管炎(Churg-Strauss综合征)分类标准。
Arthritis Rheum. 1990 Aug;33(8):1094-100. doi: 10.1002/art.1780330806.