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首页> 外文期刊>Italian Journal of Medicine >Granulomatosis with polyangiitis presenting with pachymeningitis and persistent headache
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Granulomatosis with polyangiitis presenting with pachymeningitis and persistent headache

机译：肉芽肿病与嗜族炎，呈嗜血炎和持续的头痛

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摘要

Granulomatosis with polyangiitis (GPA), formerly known as Wegener’s granulomatosis, is a systemic inflammatory disease, primarily involving the upper and lower respiratory tract and kidneys It is a relatively uncommon condition, characterized by necrotizing granulomatous vasculitis of small and mediumsized vessels and the presence of antineutrophil cytoplasmic antibodies in the serum as defined in the Chapel Hill Consensus Conference 2012 GPA presents a wide spectrum of manifestations and remains one of the most challenging diagnostic dilemmas in clinical medicine From common respiratory and neurological symptoms to infrequent cardiac complications, this fatal systemic illness is difficult to distinguish from infectious etiologies, and it is often mistaken for an isolated complaint We report a case of granulomatosis with polyangiitis in a patient with persistent frontal headache, for a very long time considered as migraine versus tensiontype headache.
机译：以前称为Wegener的肉芽肿病，是一种全身炎症性疾病的肉芽肿，主要涉及上下呼吸道和肾脏，其是一种相对罕见的病症，其特征在于中小血管的坏死粒状血管炎及存在血清中定义的血清中定义的血清中血清的抗肿瘤细胞质抗体2012年GPA呈现出广泛的表现，仍然是临床医学中最具挑战性的诊断困境，来自常见的呼吸道和神经系统症状，这种致命的全身疾病是罕见的心脏并发症，是难以区分传染性的病因，并且往往误认为是孤立的投诉，我们报告了患有持续前部头痛的患者中的肉芽肿病例的情况，很长一段时间被认为是偏头痛与张力术头痛。

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