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Spectrum of Large- and Medium-Vessel Vasculitis in Adults: Neoplastic, Infectious, Drug-Induced, Autoinflammatory, and Primary Immunodeficiency Diseases
Current Rheumatology Reports ( IF 5.7 ) Pub Date : 2022-08-03 , DOI: 10.1007/s11926-022-01083-5
Fabian Lötscher 1 , Roxana Pop 2 , Pascal Seitz 1 , Mike Recher 3, 4 , Luca Seitz 1, 3
Affiliation  

Purpose of Review

To provide a comprehensive review of drugs and neoplastic, infectious, autoinflammatory, and immunodeficiency diseases causing medium- to large-vessel vasculitis in adults with emphasis on information essential for the initial diagnostic process.

Recent Findings

Entities with medium- to large-vessel vasculitis as clinical manifestations have been described recently (e.g., adenosine deaminase-2 deficiency, VEXAS-Syndrome), and vasculitis in established autoinflammatory or immunodeficiency diseases is increasingly being identified.

Summary

In the diagnostic process of medium- to large-vessel vasculitis in adults, a large variety of rare diseases should be included in the differential diagnosis, especially if diagnosis is made without histologic confirmation and in younger patients. Although these disorders should be considered, they will undoubtedly remain rare in daily practice.



中文翻译:


成人大中血管血管炎的谱系:肿瘤性、感染性、药物诱导性、自身炎症性和原发性免疫缺陷疾病


 审查目的


对引起成人中大血管炎的药物和肿瘤、感染、自身炎症和免疫缺陷疾病进行全面综述,重点关注对初始诊断过程至关重要的信息。

 最近的发现


最近描述了以中型至大血管血管炎为临床表现的实体(例如,腺苷脱氨酶2缺乏症、VEXAS综合征),并且越来越多地发现已确定的自身炎症或免疫缺陷疾病中的血管炎。

 概括


在成人中大血管血管炎的诊断过程中,应将多种罕见疾病纳入鉴别诊断,特别是在未经组织学证实的情况下以及年轻患者中进行诊断。尽管应该考虑这些疾病,但它们在日常实践中无疑仍然很少见。

更新日期:2022-08-04
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