Wiatr E, Chmielewska B, Jotowicz E, Pawlicka L, Remiszewski P, Rowińska-Zakrzewska E
III Kliniki Gruźlicy i Chorób Płuc.
Pneumonol Alergol Pol. 1997;65(11-12):830-6.
The case of systemic vasculitis with involvement of pulmonary vessels was described. 36-years white woman with cerebral vasculitis and recurrent uveitis 5 and 3 years ago, now was admitted to hospital because of the mouth ulceration and lesions in the chest x-ray. After lung cancer exclusion, aneurysm of pulmonary artery branch was confirmed by dynamic tomocomputer examination All mentioned above manifestations were diagnosed as Behcet disease. Patient was treated with prednison, cyclophosphamide and cyclosporine. Clinical effect was observed after corticotherapy, but no improvement in chest X-ray picture was obtained also after immunosuppression. Patient died because of pulmonary haemorrhage 7 years after first symptoms of vasculitis and 2 years after first massive haemorrhage.
描述了一例累及肺血管的系统性血管炎病例。一名36岁的白人女性,5年前和3年前分别患有脑血管炎和复发性葡萄膜炎,现因口腔溃疡和胸部X光片上的病变入院。排除肺癌后,动态计算机断层扫描检查证实为肺动脉分支动脉瘤。上述所有表现均被诊断为白塞病。患者接受了泼尼松、环磷酰胺和环孢素治疗。皮质激素治疗后观察到临床效果,但免疫抑制后胸部X光片也未见改善。患者在出现血管炎首发症状7年后,首次大出血2年后,因肺出血死亡。