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高安动脉炎、血栓闭塞性脉管炎和炎性腹主动脉瘤:它们的发病机制中是否存在共同途径?

Takayasu arteritis, Buerger disease and inflammatory abdominal aortic aneurysms: is there a common pathway in their pathogenesis?

作者信息

Numano F

机构信息

Department of Internal Medicine, Tokyo Medical and Dental University, Japan.

出版信息

Int J Cardiol. 1998 Oct 1;66 Suppl 1:S5-10.

PMID:9951798
Abstract

Takayasu arteritis, Bueger disease and IAAA are non-specific vasculitis involving mainly large vessels, the etiology of which are all still in the mist. Our recent HLA analysis on Takayasu arteritis and Buerger disease revealed a close association with some HLA antigens which made us suppose the common pathological pathway to cause these morbid conditions. International survey on Takayasu arteritis also revealed cases involving abdominal aorta only (Type IV, International Classification) in Asian countries, very similar to clinical and pathological features of IAAA. These ongoing survey suggest the common mechanism in the pathophysiology of these morbid conditions.

摘要

高安动脉炎、血栓闭塞性脉管炎和感染性主动脉瘤是主要累及大血管的非特异性血管炎,其病因目前仍不清楚。我们最近对高安动脉炎和血栓闭塞性脉管炎进行的 HLA 分析显示,它们与某些 HLA 抗原密切相关,这使我们推测导致这些疾病状态的共同病理途径。对高安动脉炎的国际调查还发现,亚洲国家存在仅累及腹主动脉的病例(国际分类中的 IV 型),这与感染性主动脉瘤的临床和病理特征非常相似。这些正在进行的调查表明,这些疾病状态在病理生理学上存在共同机制。

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