付晓桐 姜春阳 李玲

    [摘要] 肉芽肿性多血管炎是一种自身免疫性疾病，其临床表现多种多样，容易与侵袭性肺曲霉病相混淆。本文报道了1例44岁中年男性肉芽肿性多血管炎误诊为侵袭性肺曲霉病的病例，通過讨论对两者的鉴别诊断，提高了临床医生对肉芽肿性多血管炎的诊断及鉴别诊断的能力。

    [关键词] 肉芽肿性多血管炎;自身免疫性疾病;侵袭性肺曲霉病;误诊;鉴别诊断

    [中图分类号] R563 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2019)06(c)-0144-04

    A case of granulomatosis with polyangiitis misdiagnosed as invasive pulmonary asperillosis

    FU Xiaotong ? JIANG Chunyang ? LI Ling

    Graduate School， Tianjin University of Traditional Chinese Medicine， Tianjin ? 300193， China

    [Abstract] Granulomatosis with polyangiitis (GPA) is an autoimmune disease with a variety of clinical manifestations that are easily confused with invasive pulmonary asperillosis (IPA). This article reports a case of a 44-year-old man with GPA misdiagnosed as IPA. Through the discussion of the differential diagnosis of the two diseases， the ability of clinician′s diagnosis and differential diagnosis in GPA was improved.

    [Key words] Granulomatosis with polyangiitis; Autoimmune diseases; Invasive pulmonary asperillosis; Misdiagnose; Differential diagnosis ......