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伴有小脑受累的鼻窦型抗中性粒细胞胞浆抗体阴性的肉芽肿性多血管炎

ANCA-Negative Granulomatosis of Polyngiitis of Paranasal Sinuses with Cerebellar Involvement.

作者信息

Mahmutoglu Abdullah Soydan, Duzkalir Hanife Gulden, Erdal Yuksel, Mahmutoglu Ozdes, Karagoz Yesim

机构信息

Department of Radiology, Istanbul Training and Research Hospital, Istanbul, Turkey.

Department of Radiology, Kartal Dr. Lütfü Kırdar Training and Research Hospital, Istanbul, Turkey.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5944-5948. doi: 10.1007/s12070-024-05005-y. Epub 2024 Aug 27.

Abstract

Granulomatosis of polyangiitis (GPA) is a multisystem necrotizing vasculitis, which affects small- and medium-sized blood vessels and characterized by frequent involvement of the upper and lower respiratory tract and kidneys. Altough anti-neutrophil cytoplasmic antibodies (ANCA) are higly associated with GPA and play an important role in the pathogenesis of this disease, ANCA positivity is not essential for clinical diagnosis. We describe a patient with ANCA-negative granulamatosis of polyangiitis involving cerebellum, having complaints due to sinusitis.

摘要

肉芽肿性多血管炎(GPA)是一种多系统坏死性血管炎,累及中小血管,以上下呼吸道和肾脏频繁受累为特征。虽然抗中性粒细胞胞浆抗体(ANCA)与GPA高度相关且在该疾病的发病机制中起重要作用,但ANCA阳性并非临床诊断所必需。我们描述了一名患有累及小脑的ANCA阴性肉芽肿性多血管炎患者,因鼻窦炎而出现症状。

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Head and neck manifestations of Wegener's granulomatosis.韦格纳肉芽肿的头颈部表现。
Otolaryngol Clin North Am. 2003 Aug;36(4):685-705. doi: 10.1016/s0030-6665(03)00023-9.
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Rhinologic changes in Wegener's granulomatosis.韦格纳肉芽肿病的鼻科改变
J Laryngol Otol. 2002 Jul;116(7):565-9. doi: 10.1258/002221502760132737.

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