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肉芽肿性多血管炎临床表现及诊断新进展

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肉芽肿性多血管炎是一种系统性血管炎疾病,可累及口腔、眼、鼻、肺及肾脏等全身多个器官,发病率较低但死亡率较高,起病隐匿,早期症状容易与其他疾病混淆,其主要以肉芽肿和局灶性坏死的形成、血管的炎症为特征,临床多采用糖皮质激素及免疫抑制剂联合治疗.随着现代技术的发展以及对其临床表现认知的加深,肉芽肿性多血管炎的分类诊断标准被重新制定.该文主要从口腔角度对肉芽肿性多血管炎的临床表现、分类诊断标准及鉴别诊断进行更新,以期为临床工作提供一定的参考.
New developments in the clinical presentation and diagnosis of granulomatosis with poly angiitis
Granulomatosis with polyangiitis is a systemic vasculitis disease,which can involve multiple organs of the whole body such as mouth,eyes,nose,lung and kidney.It has low incidence but a high mortality rate,hidden onset,and early symptoms are easily confused with other diseases.It is mainly characterized by the formation of granuloma,focal necrosis and vascular inflammation.The combination of glucocorticoid and immunosuppressant is usually used in clinical treatment.The diagnostic criteria of granulomatosis with polyangiitis has been reformulated with the development of modern technology and increased recognition of its clinical manifestations.Therefore,this paper mainly updated the clinical manifestations,classification diagnostic criteria and differential diagnosis of granulom-atous polyvasculitis from the perspective of oral cavity,in order to provide reference for clinical work.

granulomatosis with polyangiitisautoimmune diseaseclinical presentationdiagnosisdifferential diagnosis

田欣、吴思华、但红霞、曾昕、王冏珂、陈谦明

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口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,口腔黏膜病国家临床重点专科,中国医学科学院口腔黏膜癌变与防治创新单元,四川大学华西口腔医学院黏膜病科,四川成都(610041)

肉芽肿性多血管炎 自身免疫性疾病 临床表现 诊断 鉴别诊断

中国医科院医学与健康科技创新工程项目国家自然科学基金国家自然科学基金

2019-I2M-5-0048199150282201074

2024

口腔医学
南京医科大学口腔医学院

口腔医学

CSTPCD
影响因子:0.641
ISSN:1003-9872
年,卷(期):2024.44(3)
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