目的探讨变应性肉芽肿性血管炎的发病机制、临床特点、诊断和治疗。方法对1例变应性肉芽肿性血管炎的临床资料及成立诊断的依据进行分析,并复习相关文献加以探讨。结果变应性肉芽肿性血管炎临床少见,临床表现复杂多样,极易被误诊。治疗方法主要是皮质类固醇激素和免疫抑制剂。结论应提高临床医生对变应性肉芽肿性血管炎的识别能力,减少对此病的误诊。 Objective To investigate the pathogenesis, clinical features, diagnosis and treatment of allergic granulomatous vasculitis. Methods One case of allergic granulomatous vasculitis clinical data and the establishment of diagnostic basis for analysis, and review the relevant literature to be explored. Results Allergic granulomatous vasculitis is rare and clinical manifestations are complex and diverse and can be easily misdiagnosed. The treatment is mainly corticosteroids and immunosuppressive agents. Conclusion Clinicians should improve their ability to recognize allergic granulomatous vasculitis and reduce the misdiagnosis of this disease.