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[抗中性粒细胞胞浆抗体与韦格纳肉芽肿]

[Antineutrophil cytoplasmic antibodies and Wegener's granulomatosis].

作者信息

Gabriel Botella F, Labios Gómez M, Arnal Babiloni M, Dasi Martínez C, Vicente Ull R, Mainar Latorre L

机构信息

Servicio de Medicina Interna, Hospital Clínico Universitario, Valencia.

出版信息

An Med Interna. 1995 May;12(5):235-8.

PMID:7669877
Abstract

In the presented case are described the clinic demonstrations, analytical and evolutionary in a diagnosed patient of Wegener Granulomatosis (WG). The biopsies practiced in the injuries of the nasal mucous and oral cavity demonstrated a necrotizing granulomatous vasculitis. The antineutrophil cytoplasmic antibodies with standard cytoplasmic (AANC-C) determined by immunofluorescence indirect were positive with a seric initial of 1:160 in the making negative to the sixty treatment days. The administration of the treatment coincided with an improvement meaningful clinic. We emphasize the scarce demonstration of the WG in the oral cavity as well as of the presentation histological described. Finally, we emphasize the growing importance of the AANC-C not only in the diagnosis of the disease but as specific marker of its activity.

摘要

本文描述了一名韦格纳肉芽肿(WG)确诊患者的临床症状、分析及病情发展情况。鼻黏膜和口腔损伤处的活检显示为坏死性肉芽肿性血管炎。通过间接免疫荧光法测定的抗中性粒细胞胞浆抗体(AANC-C)标准胞浆型在初始血清值为1:160时呈阳性,至治疗60天时转阴。治疗的实施与显著的临床改善同时出现。我们强调WG在口腔中表现罕见以及所描述的组织学表现。最后,我们强调AANC-C不仅在疾病诊断中,而且作为其活动的特异性标志物,其重要性日益增加。

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