Kerr K M, Auger W R, Fedullo P F, Channick R H, Yi E S, Moser K M
Division of Pulmonary and Critical Care Medicine, School of Medicine, University of California, San Diego, USA.
Am J Respir Crit Care Med. 1995 Jul;152(1):367-73. doi: 10.1164/ajrccm.152.1.7599847.
Chronic obstruction of pulmonary arteries can be due to a variety of disease processes, including chronic thromboembolic disease, fibrosing mediastinitis, or neoplasia. Large vessel arteritis is another unusual cause of pulmonary artery obstruction and can be difficult to distinguish from the above-listed etiologies. We present four patients referred to our institution with the provisional diagnosis of chronic thromboembolic pulmonary hypertension who were subsequently diagnosed with Takayasu's arteritis involving the pulmonary arteries. We review the historical, physical examination, and radiologic characteristics that help distinguish Takayasu's arteritis from chronic thromboembolic disease.
肺动脉慢性阻塞可能由多种疾病过程引起，包括慢性血栓栓塞性疾病、纤维性纵隔炎或肿瘤形成。大血管动脉炎是肺动脉阻塞的另一个不常见原因，可能难以与上述病因相区分。我们报告了四名转诊至我院的患者，他们最初被初步诊断为慢性血栓栓塞性肺动脉高压，随后被诊断为累及肺动脉的高安动脉炎。我们回顾了有助于区分高安动脉炎与慢性血栓栓塞性疾病的病史、体格检查和影像学特征。
