Ma J L
Beijing Friendship Hospital.
Zhonghua Nei Ke Za Zhi. 1994 Aug;33(8):534-6.
The author reported a clinical study of 8 cases of Churg-Strauss vasculitis which is a rare disease of unknown cause. The clinical features include allergic rhinitis (69%), sinusitis (88%), asthma (98%-100%), mononeuropathy (66%-98%), pulmonary infiltration and peripheral blood eosinophilia. The histopathologic manifestations are characterized by eosinophilic infiltration, granulomatous lesion and necrotising vasculitis. The lesions mentioned above may not appear simultaneously, but they may exist in different combinations. Therefore, not all the manifestations may be seen in a single biopsy specimen. According to the diagnostic criteria recommended by American College of Rheumatology Subcommittee on Classification of Vasculitis in 1990, 6 cases of this series can be diagnosed. The remaining 2 cases were confirmed by pathologic examination. This kind of vasculitis responds to steroid treatment with satisfactory results.
作者报告了一项关于8例变应性肉芽肿性血管炎的临床研究,该病是一种病因不明的罕见疾病。临床特征包括变应性鼻炎(69%)、鼻窦炎(88%)、哮喘(98%-100%)、单神经病(66%-98%)、肺部浸润和外周血嗜酸性粒细胞增多。组织病理学表现以嗜酸性粒细胞浸润、肉芽肿性病变和坏死性血管炎为特征。上述病变可能不会同时出现,但可能以不同组合存在。因此,并非所有表现都能在单个活检标本中看到。根据美国风湿病学会血管炎分类小组委员会1990年推荐的诊断标准,本系列中有6例可被诊断。其余2例经病理检查确诊。这种血管炎对类固醇治疗反应良好,效果令人满意。