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[韦格纳肉芽肿:临床、放射学及诊断特征。附病例分析]

[Wegener's granulomatosis: clinical, radiological and diagnostic characteristics. Apropos of a case].

作者信息

Polus M, Hamels J, Dorzee J, Henkinbrant A, Carlier B, d'Odemont J P

机构信息

Services de Médecine, Interne et de Radiologie, Clinique Saint-Joseph, Mons, Belgique.

出版信息

Acta Clin Belg. 1995;50(5):291-6. doi: 10.1080/17843286.1995.11718464.

Abstract

The authors report an observation of Wegener's granulomatosis with pulmonary, bronchial, renal, cutaneous and sinusal involvement. Five years ago, the patient was referred to us because of bilateral diffuse pulmonary infiltrates of unknown origin. A corticotherapy was introduced at that time and a complete clearance of the pulmonary infiltrates was noted. Nineteen months after the treatment's withdrawal, the disease recurs with the reappearance of pulmonary infiltrates. Beyond these unusual clinical aspects, histological examination of the bronchial biopsies were of diagnostic value.

摘要

作者报告了一例韦格纳肉芽肿病,累及肺部、支气管、肾脏、皮肤和鼻窦。五年前,患者因双侧不明原因的弥漫性肺部浸润被转诊至我院。当时开始进行皮质激素治疗,肺部浸润完全消退。治疗停药19个月后,疾病复发,肺部浸润再次出现。除了这些不寻常的临床特征外,支气管活检的组织学检查具有诊断价值。

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