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616.98:616.13/.14-002.7-036.86 (1) |
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Патология сердечно-сосудистой системы. Сердечно-сосудистые заболевания (994) |
SM ISO690:2012 GROPPA, Liliana, BUJOR, Oxana, SURCHICEANU, Rodica. The viral infections trigger relapse of granulomatosis with polyangiitis. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 222. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.98:616.13/.14-002.7-036.86 | ||||||
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Background. Granulomatosis with polyangiitis is a systemic vasculitis of autoimmune origin and unknown cause that is fundamentally characterized by an inflammatory process that affects medium and large vessels. Objective of the study. Presentation a clinical case of Granulomatosis with polyangiitis in a patient had COVID-19 viral infection. Material and Methods. Anamnestic, clinical and paraclinical data were taken from the medical record. The patient was investigated by laboratory methods, electrocardiography, abdominal ultrasonography, computed tomography (CT) of the lungs. The literature on similar cases has been studied. Results. A 50-year-old man, he was hospitalized in Arthrology Department of RCH „Timofei Moșneaga” with following complains: migraines, mixed dyspnea, pressure sensation in the left hemithorax. Clogged nose, epistaxis, headache, general weakness, and febrile outbreaks. From the history of current disease in 2010 the patient was diagnosed Granulomatosis with polyangiitis, following treatment with installation of remission. In August 2021 he suffers from COVID-19 infection of moderate form, with worsening of symptoms. The patient was treated according to clinical protocols and international guidelines. In the department diagnosed Granulomatosis with polyangiitis, moderate activity BVAS score 10/63, with damage - paranasal sinuses (left maxillary sinusitis, ethmoiditis). He continues the drug treatment. Conclusions. We can assume that COVID-19 virus infection contributed to the exacerbation of granulomatosis with polyangiitis. In order to prevent relapses, it is necessary to carry out the prophylaxis of viral infections, vaccination according to the schemes and appropriate treatment. |
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Cuvinte-cheie granulomatosis with polyangiitis, COVID-19, DMARD treatment, granulomatoza cu poliangiită, COVID-19, tratament DMARD |
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