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肉芽肿性多血管炎合并自发性血胸及咯血：一例报告

Spontaneous Hemothorax and Hemoptysis in Granulomatosis With Polyangiitis: A Case Report.

作者信息

Scanagatta Paolo, Cagnetti Sara, Giorgetta Casimiro Eugenio, Inzirillo Francesco, Ravalli Eugenio, Naldi Giuseppe, Agozzino Manuela, Ancona Gianluca

机构信息

Division of Thoracic Surgery, Ospedale "Eugenio Morelli" ASST Valtellina e Alto Lario Sondalo Italy.

Division of Pathology ASST Valtellina e Alto Lario Sondalo Italy.

出版信息

Clin Case Rep. 2025 Sep 1;13(9):e70645. doi: 10.1002/ccr3.70645. eCollection 2025 Sep.

DOI:10.1002/ccr3.70645
PMID:40901369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12400935/
Abstract

Spontaneous hemothorax is a rare but potentially life-threatening manifestation of granulomatosis with polyangiitis (GPA). This case highlights the importance of considering vasculitis in unexplained hemothorax and underscores the role of early surgical intervention in preventing deterioration in immunosuppressed patients. Multidisciplinary management is crucial for timely diagnosis, treatment, and optimizing outcomes.

摘要

自发性血胸是肉芽肿性多血管炎（GPA）一种罕见但可能危及生命的表现。该病例突出了在不明原因血胸时考虑血管炎的重要性，并强调了早期手术干预在预防免疫抑制患者病情恶化中的作用。多学科管理对于及时诊断、治疗及优化治疗结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/372d36ed4487/CCR3-13-e70645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/883b19fb7dd3/CCR3-13-e70645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/84d3e617d0c9/CCR3-13-e70645-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/372d36ed4487/CCR3-13-e70645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/883b19fb7dd3/CCR3-13-e70645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/84d3e617d0c9/CCR3-13-e70645-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef7e/12400935/372d36ed4487/CCR3-13-e70645-g001.jpg

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