A Case of Microscopic Polyangiitis Presenting As Diffuse Alveolar Hemorrhage
| Autor: | Min Su Kim, Kyung Chan Kim, Sang Hyun Kim, Seung Hyun Lee, Young June Jeon, Kwan Kyu Park, Seung Beom Han, Chang Gyun Seo |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Pulmonary and Respiratory Medicine
Pathology medicine.medical_specialty medicine.diagnostic_test business.industry Glomerulonephritis Diffuse alveolar hemorrhage respiratory system urologic and male genital diseases medicine.disease respiratory tract diseases Infectious Diseases Granuloma medicine Prednisolone Azotemia Renal biopsy Microscopic hematuria Microscopic polyangiitis business medicine.drug |
| Zdroj: | Tuberculosis and Respiratory Diseases. 53:202 |
| ISSN: | 0378-0066 |
| Popis: | A diffuse alveolar hemorrhage is a rare manifestation in microscopic polyangiitis. Recently we experienced a case of diffuse alveolar hemorrhage associated with microscopic polyangiitis, which was diagnosed with the typical clinical manifestations, ANCA and a renal biopsy. A 71 year old female was admitted complaining of coughing and dyspnea. A chest X-ray, HRCT and BAL revealed a diffuse alveolar hemorrhage. A diffuse alveolar hemorrhage was noted during a bronchoscopy. She also had proteinuria, microscopic hematuria and mild azotemia. The renal biopsy showed necrotic glomerulonephritis without immune complex deposits or granuloma. Under the diagnosis of microscopic polyangiitis, she was treated with steroid pulse therapy, and prednisolone with cyclophosphamide subsequently. She showed marked improvement in the clinical manifestations. |
| Databáze: | OpenAIRE |
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