Wegener's Granulomatosis with Relapsed Bleeding of Gastric Ulcers : A Case Report
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概要
- 論文の詳細を見る
We treated a 55-year-old male patient with Wegener's granulomatosis (WG) associated with frequent gastric bleeding from multiple ulcerative lesions. Only a few cases of frequent hemorrhaging of peptic ulcers associated with WG have been reported. In our case, a gastric biopsy showed mononuclear cell infiltration in the submucosal area, without granulomas or vasculitis. An endoscopic maneuver, as well as administration of immunosuppressive agents, combined with an H_2 receptor antagonist and proton pump inhibitor successfully eliminated the gastrointestinal bleeding. In this case, proof that the gastrointestinal involvement was pathologically related to WG could not be demonstrated because neither granulomas nor vasculitis were observed in the insufficient biopsy specimen of the stomach. It is also possible that the uremic state and cytotoxic agents worsened the gastrointestinal involvement. However, immunosuppressive therapy combined with routine antiulcer treatment was very effective in repairing the ulcerative lesions. The gastrointestinal involvement was considered a possible complication of the WG.
- 東海大学の論文
著者
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Sakai H
Division Of Nephrology And Metabolism Department Of Internal Medicine Tokai University School Of Med
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TAKAYASU Hiroyuki
Department of Internal Medicine, School of Medicine, Tokai University
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NOMOTO Yasuo
Department of Internal Medicine, School of Medicine, Tokai University
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ENDOH Masayuki
Department of Internal Medicine, School of Medicine, Tokai University
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SAKAI Hideto
Department of Internal Medicine, School of Medicine, Tokai University
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Nomoto Yasuo
Departments Of Nephrology And Metabolism; School Of Medicine Tokai University
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Sakai Hideto
Division Of Nephrology And Metabolism Department Of Internal Medicine Tokai University School Of Med
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Sakai H
Division Of Nephrology And Metabolism Department Of Internal Medicine
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Sakai Hideto
東海大学 医学部腎・内分泌・代謝内科
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Endoh M
Division Of Nephrology And Metabolism Department Of Internal Medicine Tokai University School Of Med
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Endoh Masayuki
東海大学 医学部腎代謝内科
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YAMAUCHI Fumio
Departments of Nephrology and Metabolism; School of Medicine, Tokai University
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TANABE Ryoji
Departments of Nephrology and Metabolism; School of Medicine, Tokai University
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NAKASHIMA Rishin
Departments of Nephrology and Metabolism; School of Medicine, Tokai University
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SAKONJYU Tomohiro
Departments of Internal Medicine (Endoscopy); School of Medicine, Tokai University
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SHINDOH Yukio
Departments of Internal Medicine (Endoscopy); School of Medicine, Tokai University
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KIMURA Norio
Departments of Internal Medicine (Endoscopy); School of Medicine, Tokai University
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SUGANO Katsuhiro
Departments of Transplantation; School of Medicine, Tokai University
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WAKABAYASHI Masanori
Departments of Transplantation; School of Medicine, Tokai University
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IIDA Takashi
Departments of Transplantation; School of Medicine, Tokai University
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AIHARA Hitoshi
Departments of Otorhinolaryngology; School of Medicine, Tokai University
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Nomoto Yasuo
Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai Unive
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Takeda Hiroshi
The Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai U
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Nomoto Yasuo
Department Of Intermal Medicine School Of Medicine Tokai University
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Tanabe Ryoji
Departments Of Nephrology And Metabolism; School Of Medicine Tokai University
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Iida Takashi
Department Of Dermatology Nara Medical University
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Kawamura Nobuo
Departments Of Internal Medicine (endoscopy); School Of Medicine Tokai University
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Kimura Norio
Department Of Electronic Engineering Faculty Of Engineering Iwate University
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Shiina Yutaka
Departments Of Internal Medicine (endoscopy); School Of Medicine Tokai University
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Aihara H
Tokai Univ. School Of Medicine
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Aihara Hitoshi
Department Of Otorhinolaryngology Tokai University School Of Medicine
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Yamauchi F
Tohoku Univ. Sendai‐shi
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Yamauchi Fumio
Division Of Nephrology And Metabolism Department Of Internal Medicine Tokai University School Of Med
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Yamauchi F
Department Of Food Chemistry Faculty Of Agriculture Tohoku University
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Yamauchi Fumio
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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Sakai Hideto
Department Of Intermal Medicine School Of Medicine Tokai University
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Sakai Hideto
The Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai U
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Nomoto Yasuo
Division Of Nephrology And Metabolism Department Of Internal Medicine Tokai University School Of Med
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Nomoto Yasuo
Division Of Nephrology Department Of Internal Medicine School Of Medicine Tokai University
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Nakashima Rishin
Departments Of Nephrology And Metabolism; School Of Medicine Tokai University
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Sugano Katsuhiro
Departments Of Transplantation; School Of Medicine Tokai University
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Sakonjyu Tomohiro
Departments Of Internal Medicine (endoscopy); School Of Medicine Tokai University
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Wakabayashi Masanori
Departments Of Transplantation; School Of Medicine Tokai University
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Wakabayashi Masanori
Department Of Internal Medicine Yuurinkouseikai Fuji Hospital
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Sakai Hideto
Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai Unive
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Sakai Hideto
Department Of Nephrology Tokai University
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Ishida Toshiya
Departments Of Transplantation; School Of Medicine Tokai University
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Sakai Hideto
Division Of Nephrology Department Of Internal Medicine School Of Medicine Tokai University
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Sato H
Division Of Nephrology And Metabolism Department Of Internal Medicine
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Sakai Hideto
Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai Unive
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Nomoto Yasuo
Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai Unive
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Endoh Masayuki
The Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai U
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Iida Takashi
Departmenr Of Neuropathology Neurological Institute Graduate School Of Medical Sciences Kyushu Unive
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Endoh Masayuki
The Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai U
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Sato Haruhiro
Division Of Nephrology And Metabolism Department Of Internal Medicine
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Endoh Masayuki
The Division Of Nephrology And Metabolism Department Of Internal Medicine School Of Medicine Tokai University
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Sakai Hideto
Department Of Health Care Policy And Management Graduate School Of Comprehensive Sciences University Of Tsukuba
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