易误诊为溃疡性结肠炎的肉芽肿性多血管炎一例  

A case of granulomatous vasculitis easily misdiagnosed as ulcerative colitis

作　　者：齐旭慧 陈琰琰 许菲 黄梅芳[1] 陈敏[1] Qi Xuhui;Chen Yanyan;Xu Fei;Huang Meifang;Chen Min(Department of Gastroenterology,Zhongnan Hospital,Wuhan University,Wuhan 430071,China;Center for Pathology and Molecular Diagnostics,Wuhan University,Wuhan 430071,China;Department of Pathology,Zhongnan Hospital,Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院消化内科,武汉430071 [2]武汉大学病理中心,武汉430071 [3]武汉大学中南医院病理科,武汉430071

出　　处：《中华炎性肠病杂志(中英文)》2025年第2期170-172,共3页Chinese Journal of Inflammatory Bowel Diseases

摘　　要：肉芽肿性多血管炎是一种以血清中能检测到抗中性粒细胞胞质抗体为突出特点的坏死性肉芽肿性小血管炎,常累及耳鼻喉、上呼吸道、肺部和肾脏,以消化道症状起病少见,现报道1例罕见的以胃肠道受累为首发表现的肉芽肿性多血管炎病例,旨在提高临床医生对此病的认识。Granulomatous vasculitis is a kind of necrotizing granulomatous vasculitis with the prominent feature of detectable anti-neutrophil cytoplasmic antibodies in serum,which often involves the respiratory tract and kidneys,and the onset of symptoms in the digestive tract is rare,and we now report a rare case of granulomatous vasculitis in which the gastrointestinal tract was involved as the first symptom in order to improve the clinician's understanding of this disease.

关 键 词：肉芽肿性多血管炎 溃疡性结肠炎 抗中性粒细胞胞质抗体相关性血管炎 

分 类 号：R593.2[医药卫生—内科学]