肉芽肿合并多血管炎累及唾液腺:病例报告及文献复习

IF 0.5 Q4 RHEUMATOLOGY

Indian Journal of Rheumatology Pub Date : 2023-01-01 DOI:10.4103/injr.injr_105_21

K. Chandwar, K. Kishor, Sayan Mukherjee, U. Dhakad

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引用次数: 1

摘要

我们报告一例肉芽肿伴多血管炎（GPA），表现为唾液腺肿大和右侧腮腺脓肿、左侧面瘫、泪腺、眼外肌受累和快速进行性坏死性角膜炎。随后回顾了关于GPA中唾液腺受累的现有文献，以及唾液腺受累如何成为肾和中枢神经系统受累较少的良好预后因素，并主张在诊断GPA中的唾液腺受累时提高警惕。讨论了一种治疗唾液腺受累和疑似自身免疫性疾病的方法，包括干燥综合征、IgG4疾病、抗中性粒细胞胞浆抗体（ANCA）相关血管炎和结节病。

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Salivary gland involvement in granulomatosis with polyangiitis: Case report and review of literature

We present a case of granulomatosis with polyangiitis (GPA) presenting with salivary gland enlargement and right parotid abscess, left-sided facial palsy, Lacrimal Gland, extraocular muscle involvement and rapidly progressive necrotizing keratitis. Followed by review of available literature on salivary gland involvement in GPA and how salivary gland involvement may be a good prognostic factor with less renal and central nervous system involvement and argue for greater vigilance in diagnosing salivary gland involvement in GPA. An approach to a patient with salivary gland involvement and suspected autoimmune disease wtih Sjögren's Syndrome, IgG4 disease,Antineutrophil cytoplasmic antibodies (ANCA) associated vasculitis and Sarcoidosis is discussed.

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来源期刊

Indian Journal of Rheumatology RHEUMATOLOGY-

CiteScore

1.10

自引率

14.30%

发文量

审稿时长

13 weeks

期刊介绍： The Indian Journal of Rheumatology (IJR, formerly, Journal of Indian Rheumatology Association) is the official, peer-reviewed publication of the Indian Rheumatology Association. The Journal is published quarterly (March, June, September, December) by Elsevier, a division of Reed-Elsevier (India) Private Limited. It is indexed in Indmed and Embase. It is circulated to all bona fide members of IRA and subscribers.