| 坏死性结节病样肉芽肿病的临床与病理分析 |
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| 引用本文： | 黄海东,郑唯强,李强,白冲. 坏死性结节病样肉芽肿病的临床与病理分析[J]. 医学争鸣, 2009, 0(24) |
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| 作者姓名： | 黄海东 郑唯强 李强 白冲 |
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| 作者单位： | 第二军医大学长海医院呼吸内科;第二军医大学长海医院病理科; |
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| 摘 要： | 目的:提高对坏死性结节病样肉芽肿病的认识.方法:结合3例坏死性结节病样肉芽肿病患者的临床资料,探讨该病的临床表现、影像学、病理、治疗和预后.结果:坏死性结节病样肉芽肿病病因不明确,临床症状可有发热、胸痛、咳嗽等,影像学主要表现为胸膜下单发、多发的肺内结节或团块;主要病理特征为肺内上皮细胞性肉芽肿、肉芽肿性血管炎和坏死.坏死性结节病样肉芽肿病对糖皮质激素治疗有效,易复发.结论:坏死性结节病样肉芽肿病罕见,临床表现无特异性,糖皮质激素治疗有效,病情易反复.肉芽肿性血管炎和坏死的严重程度可能和该病的预后相关.
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| 关 键 词： | 坏死性结节病样肉芽肿 肉芽肿 血管炎 坏死 |
Clinical and pathological analysis of 3 necrotizing sarcoid granulomatosis cases |
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| HUANG Hai-Dong,ZHENG Wei-Qiang,LI Qiang,BAI Chong. Clinical and pathological analysis of 3 necrotizing sarcoid granulomatosis cases[J]. Negative, 2009, 0(24) |
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| Authors: | HUANG Hai-Dong ZHENG Wei-Qiang LI Qiang BAI Chong |
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| Affiliation: | HUANG Hai-Dong1,ZHENG Wei-Qiang2,LI Qiang1,BAI Chong1 1Department of Respiratory Diseases,2Department of Pathology,Changhai Hospital,Second Military Medical University,Shanghai 200433,China |
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| Abstract: | AIM:To facilitate further understanding of necrotizing sarcoid granulomatosis.METHODS:Through review and analysis of the clinical documents of 3 NSG patients,the present study discusses the clinical manifestations,radiological and pathological diagnosis,treatment and prognosis of the 3 cases.RESULTS:The etiology of this rare disease remains unknown.Symptoms are most frequently fever,chest pain and productive cough etc.The radiological manifestations include solitary nodule,multiple nodules or masses in all ... |
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| Keywords: | necrotizing sarcoid granulomatosis(NSG) granuloma vasculitis necrosis |
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