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Spontan Pnömotoraksla Gelen Wegener Granülomatozisli Olgu ve Literatürün Gözden Geçirilmesi

Yıl 2020, Cilt: 5 Sayı: 3, 39 - 42, 01.12.2020

Öz

Wegener granülomatozu olarak da bilinen polianjiitis ilişkili granülomatoz(GPA), en yaygın olarak akciğer, üst solunum yolu ve böbreği tutan nadir görülen nekrotizan granülomatöz vaskülittir. Akciğer tutulumu olduğunda bilgisayarlı tomografide genellikle nodüller, infiltratlar, alveoler kanama gösterebilir. Plevral tutulumda hasta plörezi, plevral efüzyon ve kalınlaşma ile başvurabilir. Pnömotoraks nadir fakat ciddi bir komplikasyondur, meydana geldiğinde pnömotoraks, hidropnömotoraks, ampiyem, hemopnömotoraks şeklinde olabilir. Bu zamana kadar literatürde spontan pnömotoraksla gelen vaka sayısı sınırlıdır. Burada astım tanısıyla takip edilen ve spontan pnömotoraks ile gelen bir olguyu hazırladık.

Kaynakça

  • Referans 1. Lutalo PM, D'Cruz DP. Diagnosis and classification of granulomatosis with polyangiitis (aka Wegener's granulomatosis). Journal of autoimmunity. 2014;48:94-8.
  • Referans 2. Abdou NI, Kullman GJ, Hoffman GS, Sharp GC, Specks U, McDonald T, et al. Wegener's granulomatosis: survey of 701 patients in North America. Changes in outcome in the 1990s. The Journal of rheumatology. 2002;29(2):309-16.
  • Referans 3. Cordier J-F, Valeyre D, Guillevin L, Loire R, Brechot J-M. Pulmonary Wegener's granulomatosis: a clinical and imaging study of 77 cases. Chest. 1990;97(4):906-12.
  • Referans 4. Sezer I, Kocabas H, Melikoglu MA, Budak BS, Ozbudak IH, Butun B. Spontaneous pneumothorax in Wegener's granulomatosis: a case report. Modern rheumatology. 2008;18(1):76-80.
  • Referans 5. Jennette JC, Falk R, Bacon P, Basu N, Cid M, Ferrario F, et al. 2012 revised international chapel hill consensus conference nomenclature of vasculitides. 2013.
  • Referans 6. Hewins P, Tervaert JWC, Savage CO, Kallenberg CG. Is Wegener’s granulomatosis an autoimmune disease? Current opinion in rheumatology. 2000;12(1):3-10.
  • Referans 7. Clayton AR, Savage CO. What you should know about PR3-ANCA: Evidence for the role of T cells in the pathogenesis of systemic vasculitis. Arthritis Research & Therapy. 2000;2(4):260.
  • Referans 8. Cartin-Ceba R, Peikert T, Specks U. Pathogenesis of ANCA-associated vasculitis. Current rheumatology reports. 2012;14(6):481-93.
  • Referans 9. Lutalo PM, D'Cruz DP. Diagnosis and classification of granulomatosis with polyangiitis (aka Wegener's granulomatosis). J Autoimmun. 2014;48-49:94-8.
  • Referans 10. Illum P, Thorling K. Otological manifestations of Wegener's granulomatosis. The Laryngoscope. 1982;92(7):801-4.
  • Referans 11. Naini AS, Ghorbani J, Elahi SML, Beigomi M. Otologic manifestations and progression in patients with Wegener’s granulomatosis: a survey in 55 patients. Iranian journal of otorhinolaryngology. 2017;29(95):327.
  • Referans 12. Martinez F, Chung JH, Digumarthy SR, Kanne JP, Abbott GF, Shepard JA, et al. Common and uncommon manifestations of Wegener granulomatosis at chest CT: radiologic-pathologic correlation. Radiographics : a review publication of the Radiological Society of North America, Inc. 2012;32(1):51-69.
  • Referans 13. Leavitt RY, Fauci AS, Bloch DA, Michel BA, Hunder GG, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis & Rheumatism. 1990;33(8):1101-7.
  • Referans 14. DeRemee R, McDonald T, Harrison Jr E, Coles D, editors. Wegener's granulomatosis. Anatomic correlates, a proposed classification. Mayo clinic proceedings; 1976.
  • Referans 15. Shi X, Zhang Y, Lu Y. Risk factors and treatment of pneumothorax secondary to granulomatosis with polyangiitis: a clinical analysis of 25 cases. Journal of cardiothoracic surgery. 2018;13(1):7.
  • Referans 16. Finkielman JD, Lee AS, Hummel AM, Viss MA, Jacob GL, Homburger HA, et al. ANCA are detectable in nearly all patients with active severe Wegener's granulomatosis. The American journal of medicine. 2007;120(7):643.e9-14.
  • Referans 17. Van der Woude F, Lobatto S, Permin H, Van Der Giessen M, Rasmussen N, Wiik A, et al. Autoantibodies against neutrophils and monocytes: tool for diagnosis and marker of disease activity in Wegener's granulomatosis. The Lancet. 1985;325(8426):425-9.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Nur Aleyna Yetkin 0000-0001-5974-9129

İnsu Yılmaz 0000-0001-6023-6291

Yayımlanma Tarihi 1 Aralık 2020
Kabul Tarihi 3 Kasım 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 5 Sayı: 3

Kaynak Göster

Vancouver Yetkin NA, Yılmaz İ. Spontan Pnömotoraksla Gelen Wegener Granülomatozisli Olgu ve Literatürün Gözden Geçirilmesi. JAMER. 2020;5(3):39-42.