Esophageal Involvement in Microscopic Polyangiitis: A Case Report and Review of Literature
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概要
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A 72-year-old man with cough and sputum showed esophageal wall thickening and pneumonia in chest computed tomography (CT) scan. Following endoscopy, we diagnosed reflux esophagitis and subscribed proton pump inhibitor. The esophageal lesion, however, was intractable. We diagnosed microscopic polyangiitis (MPA) because of vasculitis symptoms, cytoplasmic antineutrophil cytoplasmic antibodies (cANCA) in blood and no granulomatous change in the esophagus. We adopted pulse therapy of cyclophosphamide and oral prednisolone; the symptoms and esophageal lesion were markedly improved. We concluded that the esophageal lesion was an aspect of MPA. To our knowledge, this is the first report of esophageal involvement in MPA.
著者
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Sugiura Yasushi
Department Of Endovascular Neurosurgery Seirei Mikatahara Hospital
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Nakamura Takefumi
Department Of Applied Biological Chemistry Graduate School Of Agricultural And Life Sciences The Uni
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Okuno Tomoko
Department Of Biochemistry And Applied Biosciences Faculty Of Agriculture University Of Miyazaki
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Takasu Kosho
Department Of Clinical Laboratory Medicine Kyoto City Hospital
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Ohashi Tsuyoshi
Department Of Electrical And Electronic Engineering Tottori University
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Matsumoto Masataka
Department of Gastroenterology & Hepatology, Kitano Hospital
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Kawaguchi Kiyotaka
Department of Gastroenterology & Hepatology, Kitano Hospital
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Suzuki Naoyuki
Department of Gastroenterology & Hepatology, Kitano Hospital
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Ueshima Dan
Department of Gastroenterology & Hepatology, Kitano Hospital
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Nada Takayuki
Department of Gastroenterology & Hepatology, Kitano Hospital
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Takasu Kosho
Department of Surgical Pathology, Kitano Hospital
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Hoshino Shouichi
Department of Gastroenterology & Hepatology, Kitano Hospital
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Uose Suguru
Department of Gastroenterology & Hepatology, Kitano Hospital
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