[Pancreatitis in rheumatoid arthritis found in autopsy material].
[Pancreatitis in rheumatoid arthritis found in autopsy material].
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[尸检材料中发现的类风湿性关节炎中的胰腺炎]。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
I. Ratkó
中科院分区：
文献类型：
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作者：
M. Bély;Á. Apáthy;T. Pintér;I. Ratkó
作者对80例类风湿性关节炎患者的尸检标本进行了胰腺炎发病率和类型的研究。急性胰腺炎6例，慢性复发性胰腺炎4例，慢性重症或中重症胰腺炎11例。在胰腺炎的人种学中，导管起源、胆石症和尿毒症并不具有唯一的意义。在3例病例中，发现胰腺炎伴有血管炎和典型的组织学模式，其特征在于小动脉和小动脉的血管炎-血栓性血管炎，同时发生坏死灶。在1例病例中，可以证实重度淀粉样变性引起的胰腺炎。作者提请注意，经常发生的胰腺炎患者患有类风湿性关节炎和临床诊断的困难。
Authors have studied in autopsy samples of 80 patients having suffered from rheumatoid arthritis the incidence and types of pancreatitis. There were 6 acute, 4 chronic-recurrent and 11 chronic severe or moderately severe pancreatitis observed. In the ethiology of pancreatites the ductal origin, cholelithiasis and uraemia were not found to be of exclusively significance. In 3 cases a pancreatitis was found accompanied by vasculitis and a typical histological pattern characterized by the vasculitis-thrombovasculitis of arterioles and small arteries with simultaneously occurring necrotic foci. In one case a pancreatitis due to severe amyloidosis could be verified. Authors draw attention to the frequent occurrence of pancreatitis in patients suffering from rheumatoid arthritis and the difficulties of a clinical diagnosis.