Autor: |
El-Reshaid K; Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait., Varro J; Department of Radiology, Al-Amiri Hospital, Kuwait City, Kuwait., Madda JP; Department of Pathology, Al-Amiri Hospital, Kuwait City, Kuwait. |
Jazyk: |
angličtina |
Zdroj: |
Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia [Saudi J Kidney Dis Transpl] 2016 Jul-Aug; Vol. 27 (4), pp. 795-9. |
DOI: |
10.4103/1319-2442.185264 |
Abstrakt: |
Lymph node involvement as a part of systemic vasculitis is rare. We report a case of women with rapidly progressive renal disease associated with recurrent epigastric pain, weight loss, and massive hilar as well as para-aortic lymphadenopathy. Ultrasound-guided biopsy of her scarred kidneys revealed antineutrophil cytoplasmic antibody-negative crescentic glomerulonephritis and that of lymph nodes showed severe necrotizing vasculitis. Biopsy of the lymph nodes and the failing kidney established the diagnosis of this rare presentation and ruled out lymphoma and tuberculosis. Administration of corticosteroids and cyclophosphamide resulted in a favorable outcome. |
Databáze: |
MEDLINE |
Externí odkaz: |
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