Granülomatöz polianjiit; hastalık aktivasyonu mu, enfeksiyon mu?
Journal Title: Ege Tıp Dergisi - Year 2018, Vol 57, Issue 3
Abstract
Granülomatöz polianjiit birçok sistemi tutan, hayatı tehdit eden bir hastalıktır. Tedavi stratejileri hastalığı iyileştirdiği gibi enfeksiyonlara yatkınlığı da arttırmaktadır. Enfeksiyonlar tanının ilk yılındaki en önemli ölüm nedenidir. Hastalığın seyrinde görülebilen enfeksiyonlar hastalık aktivasyonu ile ayırıcı tanıda her zaman düşünülmelidir. Ayırıcı tanıda klinik seyir, laboratuvar tetkikleri, patolojik incelemeler ve radyolojik görüntülemeler yardımcı olmaktadır. Granülomatöz polianjiit tanısı ile izlediğimiz olgumuzda hastalık aktivasyonu ile karışabilecek enfeksiyonlara dikkat çekmeye çalıştık. Abstract Granulomatosis with polyangiitis is a life-threatening disease that affects many systems. Treatment strategies improve the disease but also increase the susceptibility to infections. Infections are the most important cause of death within the first year of diagnosis. The infections that can be seen in the course of the disease should always be considered in the differential diagnosis with disease activation. Clinical course, laboratory examinations, pathological examinations and radiological imaging are helpful in differential diagnosis. With the diagnosis of granulomatous polyangiitis in our case, we tried to draw attention to infections that could be confused with disease activation.
Authors and Affiliations
Mete Kara, Özün Bayındır, Figen Yargucu Zihni, Gonca Karabulut, Selen Bayraktaroğlu, Hayriye Koçanaoğulları, Neşe Çelebisoy, Fahrettin Öksel
Keywords
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