両側横隔膜の挙上及び運動制限を初発とし呼吸不全を呈した結節性動脈周囲炎と考えられる1例

概要

論文の詳細を見る
A case of periarteritis nodosa with bilateral diaphragm elevation and acute respiratory failure is reported. A 43-year male visited our hospital because of dyspnea on exertion. The chest plain film has shown bilateral diaphragm elevation and its limitation in motor activity during last one year. Two months after admission, fever of unknown origin occurred suddenly, with muscle weakness, acute respiratory failure, and augmented dyspnea exertion. The patient was cared in Intensive Respiratory Care Unit with oral administration of steroid therapy (60mg/day). One day after the administration, all symptomes were mitigated. Biopsy of the biceps brachii revealed perivascular infiltration of lymphocytes and type IIb atrophy. According to clinical symptomes and laboratory data, this case was diagnosed as periarteritis nodosa (classical type).
千葉大学の論文