临床误诊误治2024，Vol.37Issue(4)：16-19,4.DOI:10.3969/j.issn.1002-3429.2024.04.004
误诊为肺结核瘤的ANCA相关性血管炎临床分析
Analysis of ANCA-associated Vasculitis Misdiagnosed as Pulmonary Tuber-culoma
摘要
Abstract
Objective To explore the causes of misdiagnosis of anti-neutrophil cytoplasmic antibodies(ANCA)-associatedvasculitis and the preventive measures.Methods The clinical data of 1 patient with ANCA-associated vasculitis misdiagnosed were retrospectively analyzed.Results The patient was admitted to the hospital due to red rash of lower extrem-ity with ulcer.Operation for sinusitis had been performed in other hospitals,and pulmonary mass resection was performed in another hospital because pulmonary mass had been found during preoperative screening.Postoperative pathology revealed pul-monary tuberculoma,and the treatment was ineffective after anti-tuberculosis therapy.After admission,the patient was diag-nosed with ANCA-associated vasculitis based on the manifestations of multi-system involvement,laboratory examination and pathological examination of renal puncture.The symptoms were relieved by glucocorticoid and modulated immunotherapy.Conclusion The clinical manifestations of ANCA-associated vasculitis are diverse and atypical,which,therefore,is more likely to lead to misdiagnosis.In clinical practice,relevant medical examination should be performed as soon as possible in suspected cases.关键词
抗中性粒细胞胞质抗体相关性血管炎/误诊/肺结核瘤/抗结核药/抗体,抗核/抗体,抗中性白细胞胞质/抗蛋白酶3抗体/糖皮质激素类Key words
Anti-neutrophil cytoplasmic antibody-associated vasculitis/Misdiagnosis/Pulmonary tuberculoma/Anti-tubercular agents/Antibodies,antinuclear/Antibodies,antineutrophil cytoplasmic/Anti-protease 3 antibody/Glucocorticoids分类
临床医学引用本文复制引用
胡以恒,伊力努尔·哈力甫,康晓静,沈晓峰..误诊为肺结核瘤的ANCA相关性血管炎临床分析[J].临床误诊误治,2024,37(4):16-19,4.基金项目
新疆维吾尔自治区"天山英才"培养计划(2022TSYCLJ0025) （2022TSYCLJ0025）
