[大动脉炎]。

Q4 Medicine
Revue Du Praticien Pub Date : 2023-04-01
Alexis F Guédon, Raphaël Bourgade, Mounia Elhannani, Claire Toquet, Olivier Espitia, Olivier Fain, Arsène Mekinian
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引用次数: 0

摘要

。人巨细胞病毒感染Takayasu动脉炎是一种大血管炎症性全动脉炎,主要累及主动脉及其主要分支和肺动脉。其发病率估计为每百万人年1.11例,以女性为主。该疾病的典型特征是连续两个阶段:可能不被注意的闭塞前炎症期和由于壁动脉病变(如狭窄、闭塞或动脉瘤)而以缺血性血管症状为特征的闭塞期。诊断是基于临床,生物学和形态学的结果。病理检查显示主要为内侧外膜、节段性和局灶性肉芽肿性动脉炎。治疗包括使用皮质类固醇治疗和免疫抑制剂,甚至生物治疗,控制心血管危险因素和管理血管并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Takayasu's arteritis].

TAKAYASU'S ARTERITIS. Takayasu's arteritis is an inflammatory panarteritis of the large vessels, preferentially affecting the aorta, its main branches, and the pulmonary arteries. Its incidence is estimated at 1.11 cases per million person-years, with a female predominance. The disease is classically characterized by the succession of two phases: a pre-occlusive inflammatory phase that may go unnoticed and an occlusive phase characterized by ischemic vascular symptoms because of parietal arterial lesions such as stenosis, occlusion or aneurysm. The diagnosis is based on clinical, biological and morphological findings. When available, pathological examination reveals a predominantly medial-adventitial, segmental and focal granulomatous panarteritis. Treatment consists of administering corticosteroid therapy and often immunosuppressants, or even biotherapies, managing cardiovascular risk factors, and managing vascular complications.

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Revue Du Praticien
Revue Du Praticien Medicine-Medicine (all)
CiteScore
0.20
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161
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