初始表现为社区获得性肺炎的Takayasu大动脉炎肺动脉受累  

Takayasu arteritis with pulmonary artery involvement initially presenting as community-acquired pneumonia

作　　者：王瑜君[1,2] 贺航咏 王慧娟[1] 方秋红[1] Wang Yujun;He Hangyong;Wang Huijuan;Fang Qiuhong(Department of Respiratory and Critical Care Medicine,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院呼吸与危重症医学科、北京呼吸疾病研究所、北京市呼吸与危重症诊治工程技术研究中心(北京朝阳医院),北京100020 [2]北京怀柔医院呼吸与危重症医学科,北京101400

出　　处：《中华结核和呼吸杂志》2023年第10期1002-1007,共6页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：以肺动脉受累及为首发的Takaysu大动脉炎临床表现复杂,并缺乏特异性,早期诊断困难。本文报道3例初始表现为社区获得性肺炎(CAP),最终确诊为大动脉炎肺动脉受累(TA-PAI)的病例及其特点,并结合相关文献复习,总结这类病例早期临床及辅助检查特征,以期提高临床对TA-PAI的早期识别和诊断。The initial clinical manifestations of pulmonary artery involvement in Takayasu arteritis were complicated and non-specific,making early diagnosis difficult.Three cases of Takayasu arteritis with pulmonary artery involvement(TA-PAI)initially presenting as community-acquired pneumonia(CAP)were reported.The clinical characteristics and lab test results of the three cases were summarized,and the relevant literature on TA-PAI mimicking CAP was concomitantly reviewed.It might be helpful in the early recognition and diagnosis of such patients.

关 键 词：大动脉炎 社区获得性肺炎 肺动脉受累 早期临床 早期识别 早期诊断 PAI TAKAYASU 

分 类 号：R563.1[医药卫生—呼吸系统]