Chinese Medical Sciences Journal ›› 2023, Vol. 38 ›› Issue (1): 66-69.doi: 10.24920/004161

• 病例报道 • 上一篇    下一篇

ANCA和抗GBM抗体双阳性患者伴机化性肺炎一例

王芳元1,袁湘宁1,孙丹妮1,肖宫1,胡成欢3,廖中华1,宁建平1,许辉1,冯俊涛4,尹红玲2,*(),李晓照1,*()   

  1. 1肾内科,中南大学湘雅医院,长沙 410008,中国
    2病理科,中南大学湘雅医院,长沙 410008,中国
    3重症医学科,中南大学湘雅医院,长沙 410008,中国
    4呼吸与危重症学科,中南大学湘雅医院,长沙 410008,中国
  • 收稿日期:2022-08-30 接受日期:2022-12-13 出版日期:2023-03-31 发布日期:2023-02-02
  • 通讯作者: 尹红玲,李晓照 E-mail:2646291051@qq.com;lixiaozhao@csu.edu.cn

Organizing Pneumonia in A Patient Double-Positive for ANCA and Anti-GBM Antibodies: A Case Report

Fang-Yuan Wang1,Xiang-Ning Yuan1,Dan-Ni Sun1,Gong Xiao1,Cheng-Huan Hu3,Zhong-Hua Liao1,Jian-Ping Ning1,Hui Xu1,Jun-Tao Feng4,Hong-Ling Yin2,*(),Xiao-Zhao Li1,*()   

  1. 1Department of Nephrology, Xiangya Hospital of Central South University, Changsha 410008, Hunan, China
    2Department of Pathology, Xiangya Hospital of Central South University, Changsha 410008, Hunan, China
    3Department of Intensive Care Unit, Xiangya Hospital of Central South University, Changsha 410008, Hunan, China
    4Department of Respiration, Xiangya Hospital of Central South University, Changsha 410008, Hunan, China
  • Received:2022-08-30 Accepted:2022-12-13 Published:2023-03-31 Online:2023-02-02
  • Contact: Hong-Ling Yin,Xiao-Zhao Li E-mail:2646291051@qq.com;lixiaozhao@csu.edu.cn

摘要:

抗肾小球基底膜(anti-glomerular basement membrane,GBM)疾病和抗中性粒细胞胞浆抗体(anti-neutrophil cytoplasmic antibody,ANCA)相关性血管炎(ANCA-associated vasculitis,AAV)都是是肺肾综合征的常见原因。机化性肺炎(organizing pneumonia,OP)是一种特殊的间质性肺疾病,在AAV和抗GBM疾病中都极为罕见。我们报道了一例ANCA和抗GBM抗体双阳性并伴有机化性肺炎的老年女性病例。

关键词: 机化性肺炎, 双阳性, 病例报告

Abstract:

Both anti-glomerular basement membrane (GBM) disease and the anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) are common causes of pulmonary-renal syndrome. Organizing pneumonia (OP), a special pattern of interstitial lung disease, is extremely rare either in AAV or anti-GBM disease. We report an old woman presented with OP on a background of co-presentation with both ANCA and anti-GBM antibodies.

Key words: organizing pneumonia, double-positive, ANCA-associated vasculitis, anti-GBM antibody

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