A clinical case of lung damage in granulomatosis with polyangiitis

被引:0
作者
Kraposhina, A. Yu [1 ,2 ]
Demko, I., V [1 ,3 ]
Sobko, E. A. [1 ,4 ]
Gordeeva, N., V [1 ,2 ]
Soloveva, I. A. [1 ,2 ]
Matveeva, I., V [5 ]
Kazmerchuk, O., V [1 ]
Katser, A. B. [1 ]
Abramov, Yu., I [1 ]
Malchik, N., V [1 ]
机构
[1] VF Voino Yasenetsky Krasnoyarsk State Med Univ, Dept Internal Dis & Immunol, 1 Partizana Zheleznyaka Str, Krasnoyarsk 660022, Russia
[2] Krasnoyarsk Reg Clin Hosp, Med & Diagnost Dept, 3A Partizana Zheleznyaka Str, Krasnoyarsk 660022, Russia
[3] Krasnoyarsk Reg Clin Hosp, Pulmonol & Allergy Ctr, 3A Partizana Zheleznyaka Str, Krasnoyarsk 660022, Russia
[4] Krasnoyarsk Reg Clin Hosp, Dept Allergy, 3A Partizana Zheleznyaka Str, Krasnoyarsk 660022, Russia
[5] Krasnoyarsk Reg Clin Hosp, Dept Nephrol & Rheumatol, 3A Partizana Zheleznyaka Str, Krasnoyarsk 660022, Russia
来源
BYULLETEN SIBIRSKOY MEDITSINY | 2021年 / 20卷 / 03期
关键词
granulomatosis with polyangiitis; lung damage; system vasculitis;
D O I
10.20538/1682-0363-2021-3-219-224
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The article presents a case of granulomatosis with polyangiitis, which is difficult for clinical diagnosis. Recently, the incidence of systemic vasculitis has increased, and given the similarity of clinical symptoms with other pathologies, a doctor of any specialty should carry out differential diagnosis. Granulomatosis with polyangiitis is characterized mainly by damage to the upper respiratory tract, lungs, and kidneys. The main method for diagnosing granulomatosis with polyangiitis is biopsy with histological examination, which allows to detect inflammation in the affected tissues. A feature of granulomatosis with polyangiitis is detection of antineutrophil cytoplasmic antibodies in the blood serum. However, these antibodies are recorded only in 80% of patients and are not detected in the remission phase, which makes diagnosis much more difficult.
引用
收藏
页码:219 / 224
页数:6
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