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多发单神经表现的嗜酸性肉芽肿性血管炎1例并文献复习
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Abstract:
神经系统受累的嗜酸性肉芽肿性血管炎发病率较低，本文报道了一例多发单神经表现的嗜酸性肉芽肿性血管炎患者并结合相关文献对该病的发生、诊断及治疗进行分析。以期提示临床医师对该种少见病的诊断，指导临床治疗。
At present, there are a few cases of multiple single nerve manifestations caused by eosinophilic granulomatosis with polyangiitis. This paper reported a case of eosinophilic granulomatosis with polyangiitis and analyzed the occurrence, diagnosis and treatment of the disease in combination with relevant literature. It is intended to prompt the diagnosis of this rare condition and guide clinical management for clinicians.
| [1] | Seeliger, B., Sznajd, J., Robson, J.C., Judge, A., Craven, A., Grayson, P.C., Suppiah, R.S., Watts, R.A., Merkel, P.A. and Luqmani, R.A. (2017) Are the 1990 American College of Rheumatology Vasculitis Classification Criteria Still Valid? Rheumatology, 56, 1154-1161. https://doi.org/10.1093/rheumatology/kex075 |
| [2] | Guillevin, L., Pagnoux, C., Seror, R., Mahr, A., Mouthon, L. and Toumelin, P.L. (2011) The Five-Factor Score Revisited: Assessment of Prognoses of Systemic Necrotizing Vasculitides Based on the French Vasculitis Study Group (FVSG) Cohort. Medicine, 90, 19-27. https://doi.org/10.1097/MD.0b013e318205a4c6 |
| [3] | Keogh, K. and Specks, U. (2006) Churg-Strauss Syndrome. Seminars in Respiratory and Critical Care Medicine, 27, 148-157. |
| [4] | Kitching, A.R., Anders, H.J., Basu, N., Brouwer, E., Gordon, J., Jayne, D.R., Kullman, J., Lyons, P.A., Merkel, P.A., Savage, C., Specks, U. and Kain, R. (2020) ANCA-Associated Vasculitis. Nature Reviews Disease Primers, 6, Article No. 71. https://doi.org/10.1038/s41572-020-0204-y |
| [5] | Comarmond, C., Pagnoux, C., Khellaf, M., Cordier, J.F., Hamidou, M., Viallard, J.F., Maurier, F., Jouneau, S., Bienvenu, B., Puechal, X., Aumaitre, O., Le Guenno, G., Le Quellec, A., Cevallos, R., Fain, O., Godeau, B., Seror, R., Dunogue, B., Mahr, A., Guilpain, P., Cohen, P., Aouba, A., Mouthon, L. and Guillevin, L. (2013) Eosinophilic granulomatosis with Polyangiitis (Churg-Strauss): Clinical Characteristics and Long-Term Followup of the 383 Patients Enrolled in the French Vasculitis Study Group Cohort. Arthritis & Rheumatism, 65, 270-281.
https://doi.org/10.1002/art.37721 |
| [6] | Maramattom, B.V. and Kachare, N. (2015) Montelukast-Associated Churg-Strauss Syndrome with Mononeuritis Multiplex. Annals of Indian Academy of Neurology, 18, 357-358. https://doi.org/10.4103/0972-2327.160070 |
| [7] | 苏凡, 邱茜, 蔡冬梅, 梁柳琴, 杨岫岩. 嗜酸性肉芽肿性血管炎患者的临床特征分析[J]. 中华医学杂志, 2016, 96(27): 2142-2145. |
| [8] | 李杰, 张黎明, 赵雯, 朱敏, 薛熠, 代华平. 嗜酸性肉芽肿性血管炎43例临床分析[J]. 中华医学杂志, 2016, 96(10): 787-791. |
| [9] | Régis Sablé-Fourtassou, M., Pascal Cohen, M., Alfred Mahr, M., Christian Pagnoux, M., Luc Mouthon, M.P., David Jayne, M., Daniel Blockmans, M.P., Jean-Fran？ois Cordier, M., Philippe Delaval, M., Xavier Puechal, M.P., Dominique Lauque, M., Jean-Fran？ois Viallard, M.P., Abdelkader Zoulim, M., Lo？c Guillevin, M. and French Vasculitis Study Group (2005) Antineutrophil Cytoplasmic Antibodies and the Churg—Strauss Syndrome. Annals of Internal Medicine, 143, 632-638. https://doi.org/10.7326/0003-4819-143-9-200511010-00006 |
| [10] | Sinico, R.A., Di Toma, L., Maggiore, U., Bottero, P., Radice, A., Tosoni, C., Grasselli, C., Pavone, L., Gregorini, G., Monti, S., Frassi, M., Vecchio, F., Corace, C., Venegoni, E. and Buzio, C. (2005) Prevalence and Clinical Significance of Antineutrophil Cytoplasmic Antibodies in Churg-Strauss Syndrome. Arthritis & Rheumatism, 52, 2926-2935.
https://doi.org/10.1002/art.21250 |
| [11] | Saku, A., Furuta, S., Hiraguri, M., Ikeda, K., Kobayashi, Y., Kagami, S.I., Kurasawa, K., Matsumura, R., Nakagomi, D., Sugiyama, T., Umibe, T., Watanabe, N. and Nakajima, H. (2018) Longterm Outcomes of 188 Japanese Patients with Eosinophilic Granulomatosis with Polyangiitis. Journal of Rheumatology, 45, 1159-1166. |
| [12] | Nishi, R., Koike, H., Ohyama, K., Fukami, Y., Ikeda, S., Kawagashira, Y., Iijima, M., Katsuno, M. and Sobue, G. (2020) Differential Clinic Opathologic Features of EGPA-Associated Neuropathy with and without ANCA. Neurology, 94, e1726-e1737. https://doi.org/10.1212/WNL.0000000000009309 |
| [13] | Ribi, C., Cohen, P., Pagnoux, C., Mahr, A., Arene, J.P., Lauque, D., Puechal, X., Letellier, P., Delaval, P., Cordier, J.F. and Guillevin, L. (2008) Treatment of Churg-Strauss Syndrome without Poor-Prognosis Factors: A Multicenter, Prospective, Randomized, Open-Label Study of Seventy-Two Patients. Arthritis & Rheumatology, 58, 586-594.
https://doi.org/10.1002/art.23198 |
| [14] | 张清玲. 嗜酸性肉芽肿性多血管炎诊治规范多学科专家共识[J]. 中华结核和呼吸杂志, 2018, 41(7): 514-521. |
| [15] | Chumbley, L.C., Harrison, E.J. and DeRemee, R.A. (1977) Allergic Granulomatosis and Angiitis (Churg-Strauss Syndrome). Report and Analysis of 30 Cases. Mayo Clinic Proceedings, 52, 477-484. |
| [16] | Gayraud, M., Guillevin, L., Cohen, P., Lhote, F., Cacoub, P., Deblois, P., Godeau, B., Ruel, M., Vidal, E., Piontud, M., Ducroix, J.P., Lassoued, S., Christoforov, B. and Babinet, P. (1997) Treatment of Good-Prognosis Polyarteritis Nodosa And Churg-Strauss Syndrome: Comparison of Steroids and Oral or Pulse Cyclophosphamide in 25 Patients. French Cooperative Study Group for Vasculitides. Rheumatology, 36, 1290-1297.
https://doi.org/10.1093/rheumatology/36.12.1290 |
| [17] | Cohen, P., Pagnoux, C., Mahr, A., Arene, J.P., Mouthon, L., Le Guern, V., Andre, M.H., Gayraud, M., Jayne, D., Blockmans, D., Cordier, J.F. and Guillevin, L. (2007) Churg-Strauss Syndrome with Poor-Prognosis Factors: A Prospective Multicenter Trial Comparing Glucocorticoids and Six or Twelve Cyclophosphamide Pulses in Forty-Eight Patients. Arthritis & Rheumatism, 57, 686-693. https://doi.org/10.1002/art.22679 |
