|
|
A case of granulomatosis with polyangiitis misdiagnosed as invasive pulmonary asperillosis |
FU Xiaotong JIANG Chunyang LI Ling |
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China |
|
|
Abstract Granulomatosis with polyangiitis (GPA) is an autoimmune disease with a variety of clinical manifestations that are easily confused with invasive pulmonary asperillosis (IPA). This article reports a case of a 44-year-old man with GPA misdiagnosed as IPA. Through the discussion of the differential diagnosis of the two diseases, the ability of clinician′s diagnosis and differential diagnosis in GPA was improved.
|
|
|
|
|
[1] Scott DG,Watts RA. Epidemiology and clinical features of systemic vasculitis [J]. Clin Exp Nephrol,2013,17(5):607-610. doi:10.1007/s10157-013-0830-8.
[2] Friedrich. Illustrated histopathologic classification criteria for selected vasculitis syndromes [J]. Arthritis Rheum,1990,33(8):1074-1087.
[3] Falk RJ,Gross WL,Lo?觙c Guillevin,et al. Granulomatosis with polyangiitis (Wegener′s):an alternative name for Wegener′s granulomatosis [J]. Arthr Rheumatol,2011,63(4):863-864.
[4] Scott DG,Watts RA. Systemic vasculitis:epidemiology,classification and environmental factors [J]. Ann Rheum Dis,2000,59:161-163.
[5] Woywodt A,Haubitz M,Haller H,et al. Wegener′s granulomatosis [J]. The Lancet,2006,367(9519):1362-1366.
[6] Leavitt RY,Fauci AS,Bloch DA,et al. The American College of Rheumatology 1990 criteria for the classification of Wegener′s granulomatosis [J]. Arthritis Rheum,1990,33(8):1101-1107.
[7] Perumal B,Black EH,Levin F,et al. Non-infectious orbital vasculitides [J]. Eye(Lond),2012,26(5):630-639.
[8] Semenkova EN,Krivosheev OG,Novikov PI,et al. Pulmonary lesions in Wegener′s granulomatosis [J]. Klin Med,2011, 89(1):10-13.
[9] 李传贵,李娇娇,李家开.韦格肉芽肿胸部损害的CT征象及误诊分析[J].中国医学影像技术,2014,30(8):1207-1210. doi:10.13929/j.1003-3289.2014.08.024.
[10] Miyaoka T,Itabashi M,Kumon S,et al. Rituximab therapy in the treatment of anti-neutrophil cytoplasmic antibody (ANCA)-positive interstitial pneumonia:case report [J]. Nihon Jinzo Gakkai Shi,2016,58(1):38-44.
[11] 刘霞,胡伟新.抗中性粒细胞胞浆抗体相关性血管炎的临床研究进展[J].医学研究生学报,2016,29(3):323-326. doi:10.16571/j.cnki.1008-8199.2016.03.022.
[12] 邵长周,瞿介明,何礼贤.侵袭性肺曲霉病[J].国际呼吸杂志,2003,23(6):288-291. doi:10.3760/cma.j.issn.1673-436X.2003.06.003.
[13] 朱晓敏,周新.侵袭性肺曲霉病的诊断与治疗[J].中国呼吸与危重监护杂志,2005,4(4):316-320. doi:10. 3969/j.issn.1671-6205.2005.04.028.
[14] Cloé Comarmond,Cacoub P. Granulomatosis with polyangiitis(Wegener):clinical aspects and treatment [J]. Autoimmunity Reviews,2014,13(11):1121-1125. doi:10. 1016/j.autrev.2014.08.017.
[15] Ursea R,De Castro D,Bowen TJ,et al. The role of conjunctival biopsy in the diagnosis of granulomatosis with polyangiitis [J]. J Ophthalmic Inflammation Infection,2015,5(1):1.
[16] Lutalo PM,D′Cruz DP. Diagnosis and classification of granulomatosis with polyangiitis(aka Wegener′s granulomatosis) [J]. J Autoimmun,2014,48-49:94-98.
[17] 栗占国,施桂英.凯利风湿病学[M].北京:北京大学医学出版社,2015:1585.
[18] 吕霞.局限型韦格纳肉芽肿误诊1例并文献复习[J].贵阳中医学院学报,2014,36(3):57-59.
[19] 孟凡青,孙琦,张德平,等.肺Wegener肉芽肿病/肺肉芽肿病伴多血管炎的病理诊断[J].诊断病理学杂志,2013,20(7):434-437. doi:10.3969/j.issn.1007-8096. 2013.07.016.
[20] 刘璠,谭伟,封辰叶,等.肺脏肉芽肿性多血管炎的临床特征和误诊分析[J].中国医师进修杂志,2014,37(7):20-22. doi:10.3760/cma.j.issn.1673-4904.2014.07.007.
[21] 蔡柏蔷,李龙芸.呼吸病学[M].2版.北京:协和医科大学出版社,2010:1558-1559.
[22] Fervenza FC. Rituximab in ANCA-associated vasculitis:fad or fact [J]. Nephron Clin Pract,2011,118(2):c182-c188. |
|
|
|