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以口腔病变为表现的韦格纳肉芽肿病:一例报告

Wegener's granulomatosis presenting as oral lesions: a case report.

作者信息

Lilly J, Juhlin T, Lew D, Vincent S, Lilly G

机构信息

Department of Oral and Maxillofacial Surgery, University of Iowa Hospitals and Clinics, Iowa City 52246, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Feb;85(2):153-7. doi: 10.1016/s1079-2104(98)90418-8.

Abstract

Wegener's granulomatosis will classically present as a triad of respiratory, kidney, and vascular involvement. The disease may run a course of rapidly progressive or mild and indolent and escape diagnosis for some time. The clinician must be aware of the possibility of Wegener's granulomatosis presenting initially with intraoral lesions. Prompt biopsies and blood studies along with the proper referrals will give the patient their best chance at a remission with the least systemic damage. We present a case of Wegener's granulomatosis that presented with oral lesions before other signs and symptoms.

摘要

韦格纳肉芽肿通常表现为呼吸道、肾脏和血管受累的三联征。该病可能呈快速进展型或轻度、隐匿型病程,在一段时间内易漏诊。临床医生必须意识到韦格纳肉芽肿最初可能以口腔病变为表现。及时进行活检和血液检查并进行适当转诊,将为患者提供以最小的全身损害实现缓解的最佳机会。我们报告一例韦格纳肉芽肿病例,该病例在出现其他体征和症状之前先出现了口腔病变。

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