ANCA相关性小血管炎学案.ppt

* Here is a series of CT scans over 3 years from a patient with Wegener’s. This patient had no invasive procedures performed during this time. As mentioned earlier, the avascular necrosis as a result of acute or chronic inflammatory cell infiltrates within the vessel wall or the presence of large epithelioid granulomas with obliterations of adjacent small arteries. The resulting avascular necrosis accounts for the bone destruction which is the most striking change on these CT scans and is seen against a background of generalized mucosal thickening in the nose and sinuses. The destructive proce