摘要
患者男,31岁。1995年无明显原因逐渐出现双眼球肿胀、突出、发热及嗅觉下降,伴干咳及胸闷、憋气。当地医院查:双眼球突出,活动受限,眼球周围可触及软性肿物,边界不清,无触痛;眼底检查未见异常,胸前皮肤斑疹,浅表淋巴结肿大;左肺闻及哮鸣音;周围血白细胞计数49.1×10^9/L,嗜酸性粒细胞0.86,红细胞沉降率(ESR)90mm/1h,骨髓穿刺:嗜酸性粒细胞增多伴肉芽肿。眼部CT未见异常。未能明确诊断。经激素和抗生素治疗后症状好转。
出处
《中华风湿病学杂志》
CAS
CSCD
北大核心
2009年第4期287-288,共2页
Chinese Journal of Rheumatology
参考文献6
-
1Takanashi T, Uchida S, Arita M, et al. Orbital inflammatory pseudotumor and ischemic vasculitis in Churg-Strauss syndrome: report of two cases and review of the literature. Ophthalmology, 2001, 108: 1129-1133.
-
2Sate S, Patterson R. Recurrent Churg-Strauss vasculitis with exophthalmos, hearing loss, nasal obstruction, amyloid deposite, hyperimmunoglobulinemia E, and circulating immune complexes. Arch Intern Med, 1981, 141: 1363-1365.
-
3Khan NA, Shenoy PK, McClymont L, et al. Exophthalmos and facial swelling: a case of limited Churg- Strauss syndrome. J Laryngol Otnl, 1996, 110: 578-582.
-
4Barzo P, Molnar L, Minik K. Churg-Strauss syndrome following autoimmune thyroiditis associated with Basedow's disease. Orv Hetil, 1988, 129: 1927-1930.
-
5张文,刘晓敏.变应性肉芽肿性血管炎11例临床分析[J].医学临床研究,2004,21(2):111-114. 被引量:4
-
6陈惠萍,曾彩虹.变应性肉芽肿性血管炎[J].肾脏病与透析肾移植杂志,1999,8(5):488-490. 被引量:4
二级参考文献13
-
1陈惠萍,张景红.系膜增殖性肾炎伴急性间质性肾炎[J].中华肾脏病杂志,1994,10(1):34-35. 被引量:5
-
2马骥良.变应性肉芽肿性血管炎[J].中华内科杂志,1994,33(8):534-536. 被引量:31
-
3Chumbley LC, Harrison EG, DeRemee RA. Allergic granulomatosis and angiitis(Churg-Strauss syndrome):report and analysis of 30 cases[J].Mayo Clin Proc,1977,52: 477-484.
-
4Masi AT, Junder GG, Lie JT, et al. The American College of Rheumatology 1990 criteria for the classification of Churg-strauss syndrome(allergic granulomatosis and angiitis)[J].Arthritis Rheum, 1990,33: 1094.
-
5Lanham JG, Elkon KB, Pusey CD, et al. Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-strauss syndrome[J].Midicine, 1984,63:65.
-
6Guillevin L, Cohen P, Gayraud M. Churg-strauss syndrome:clinical study and long-term follow-up of 96 patients[J].Medicine, 1999, 78: 26-37.
-
7Lilly CM, Churg A, L azarovich M, et al. Asthma therapies and Churg-strauss syndrome[J].J Allergy Clin Immunol,2002, 109(1):S1-19.
-
8Noth I,Strek ME, Leff AE. Churg-strauss syndrome[J].Lancet,2003 ,361(9357):587-594.
-
9Nagashima T,Cao B, Takeuchi N, et al. Clinicopathological studies of peripheral neuropathy in Churg-strauss syndrome[J].Neuropathology,2002,22(4):299-307.
-
10Calvo-Romero JM, del Carmen Bonilla-Gracia M, Bureo-Dacal P. Churg-strauss syndrome presenting as spontaneous subarachnoid haemorrhage[J].Clin Rheumatol,2002,21(3):261-263.
共引文献6
-
1张智斌.Churg-Strauss综合征诊断治疗新进展[J].邯郸医学高等专科学校学报,2004,17(6):590-592. 被引量:2
-
2赖爱云,吕昭萍,李喜枝,徐健.变应性肉芽肿性血管炎误诊为浸润性肺结核[J].临床误诊误治,2005,18(9):637-638. 被引量:1
-
3梁慧,赵德育.儿童变应性肉芽肿性血管炎2例报告并文献复习[J].临床儿科杂志,2009,27(12):1165-1168. 被引量:2
-
4李世煜,李威,张伟,赵立.Churg-Strauss综合征患者的肺部CT特征[J].医学临床研究,2011,28(10):1868-1871. 被引量:2
-
5涂容芳,张秀峰,陈哲,刘青,曾赛丽,谭小武,何振华.变应性肉芽肿性血管炎二例报告并文献复习[J].中国呼吸与危重监护杂志,2014,13(2):203-207. 被引量:2
-
6鞠远荣,王春亭,杨海卫,郑哓丽,王建卢.变应性肉芽肿性血管炎伴全身多发血栓栓塞症1例[J].中国临床医生杂志,2004,32(4):44-45.
同被引文献30
-
1Jennette JC, Falk RJ, Bacon PA, et al. 2012 revised Inter-national Chapel Hill Consensus Conference nomenclature ofvasculitides[J]. Arthritis Rheum,2013, 65(1): 1-11.
-
2Shailaja S,Vivek G, Shetty R, et al. ' Eye is a window to thepulse' : bilateral ocular ischaemic syndrome as a presentingmanifestation of Takayasu arteritis[J]. BMJ Case Rep, 2013,29:2013.
-
3Matos KT, Arantes T, Sou^,^WV et al. Retinal angiography andcolour Doppler of retrobulbar vessels in Takayasu arteritis[J]. CanJ Ophthalmol, 2014,49(1): 80-86.
-
4Peter J, David S. Danda D, et al. Ocular manifestations ofTakayasu arteritis: a cross-sectional study[J]. Retina, 2011,31(6): 1170-1178.
-
5Liozon E, Ly KH, Robert PY. Ocular complications of giant cellarteritis[J]. Rev Med Interne, 2013,34(7): 421-430.
-
6Abouzahir A, Bennouk Y,El Qatni M, et al. Ocular involvementin polyarteritis nodosa: two cases[J]. J Fr Ophtalmol, 2012,35(9): 724. el-5.
-
7Iannetti L, Zito R, Bruschi S,et al. Recent understanding ondiagnosis and management of central nervous system vasculitis inchildrenfj]. Clin Dev Immunol, 2012, 2012: 698327.
-
8Garweg JG, Suter C, Aebi-Ochsner C, et al. Macular edemain Kawasaki syndrome[J]. Graefes Arch Clin Exp Ophthalmol,2012’ 250(7): 1101-1104.
-
9Grouteau E,Debuisson C, Brochard K, et al. Severe globalinflammatory involvement of ocular segments and optic discswelling in a 12-year-old girl with Kawasaki disease[J]. Eur JOphthalmol,2011, 21(1): 112-114.
-
10Cerman E,Eraslan M, Turhan SA, et al. Orbital cellulitispresenting as a first sign of incomplete kawasaki disease [J].Case Rep Ophthalmol, 2013, 4(3): 294-298.
-
1兰新富,杨海伟,李辉.甲亢合并周期性麻痹2例报告[J].中国罕少疾病杂志,1999,6(2):41-41.
-
2陈伟玲,叶雪莲,单彩燕.1例韦格纳肉芽肿并双眼球突出患者的护理[J].护理实践与研究,2009,6(10):126-127. 被引量:2
-
3钟建荣,邱欣良.进展性脑梗死相关危险因素分析[J].现代医药卫生,2010,26(15):2341-2342. 被引量:2
-
4韦美秋,林金盈.变应性肉芽肿性血管炎1例报告并文献复习[J].内科,2006,1(1).
-
5胡英惠.儿童韦格纳肉芽肿并肺损害2例报告并文献复习[J].中国当代儿科杂志,2007,9(1):81-82. 被引量:1
-
6赵克广,李鲁欢,郝建.血清降钙素原对老年细菌性肺炎临床诊断价值[J].临床肺科杂志,2013,18(11):2001-2002. 被引量:9
-
7李春晓,辛未.甲状腺功能亢进症的围手术期护理[J].中国社区医师(医学专业),2012,14(33):286-286. 被引量:3
-
8李文卉,汪年松.抗中性粒细胞胞浆抗体相关性系统性血管炎发病机制研究进展[J].中国中西医结合肾病杂志,2009,10(4):366-369. 被引量:5
-
9王艳玲.突眼咋回事[J].健康问答,2006(9):54-54.
-
10许万振,慕璐岩,段兴邦,乔万臣,宋玉文,董白晶,刘晓谦.硬脑膜动静脉瘘的显微外科手术治疗[J].中国微侵袭神经外科杂志,2016,21(3):116-118. 被引量:3