An Atypical Case of Non-asthmatic Eosinophilic Granulomatosis with Polyangiitis Finally Diagnosed by Tissue Biopsy

被引：9

作者：

Kobayashi, Tomoki ^{[1
]}

Kanno, Keishi ^{[1
]}

Kikuchi, Yuka ^{[1
]}

Kakimoto, Masaki ^{[1
]}

Kawahara, Akihiro ^{[1
]}

Kimura, Kazuki ^{[2
]}

Ishida, Ryoko ^{[2
]}

Miyamori, Daisuke ^{[1
]}

Otani, Yuichiro ^{[1
]}

Kishikawa, Nobusuke ^{[1
]}

Tazuma, Susumu ^{[1
]}

机构：

[1] Hiroshima Univ Hosp, Dept Gen Internal Med, Hiroshima, Japan

[2] Hiroshima Univ, Dept Community Based Med Syst, Grad Sch Biomed & Hlth Sci, Hiroshima, Japan

来源：

INTERNAL MEDICINE | 2019年 / 58卷 / 06期

关键词：

eosinophilic granulomatosis with polyangiitis; Churg-Strauss syndrome; temporal arteritis; CHURG-STRAUSS-SYNDROME; TEMPORAL ARTERITIS; ALLERGIC GRANULOMATOSIS; LIMITED FORM; ASTHMA; GLOMERULONEPHRITIS; VASCULITIS; PATIENT; VARIANT; ANCA;

D O I：

10.2169/internalmedicine.1167-18

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 78-year-old woman with fever of unknown origin that had persisted for 3 months, systemic edema, and cervical lymphadenopathy was admitted to our hospital. Skin purpura and jaw claudication were subsequently observed. Histopathological examinations of the lymph nodes, skin, and temporal artery revealed findings characteristic of eosinophilic granulomatosis with polyangiitis (EGPA). However, she had no past medical history of asthma with modest eosinophilia. Although EGPA is a systemic vasculitis characterized by asthma and eosinophilia, various limited forms have been described. This was therefore considered to be an atypical form of non-asthmatic EGPA complicating with temporal arteritis (TA) diagnosed by tissue biopsy.

引用

页码：871 / 875

页数：5

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