Thrombotic Microangiopathy Presenting with a Considerable Accumulation of Ascites: A Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 46-year-old man presented with fever, thrombocytopenia, and a considerable accumulation of ascites. Although prednisolone and intravenous cyclophosphamide pulse (IVCY) were effective, he experienced recurrence. Renal insufficiency and hemolytic anemia developed subsequently. Schistocytes, negative Coombs test, and elevated lactate dehydrogenase levels indicated thrombotic microangiopathy (TMA). He recovered well after receiving plasma infusion, IVCY, and prednisolone. Renal biopsy revealed subendothelial widening, thereby confirming TMA. This is a very rare case of TMA that presented with a considerable volume of ascites.
著者
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SATO Hiroshi
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine
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Ishii Tomonori
Department of Rheumatology, Tohoku University school of Medicine
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TAJIMA Yumi
Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine
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Ishii Tomonori
Department Of Hematology And Rheumatology Tohoku University Graduate School Of Medicine
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Watanabe Ryu
Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine
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FUJII Hiroshi
Department of Hematology, Kyoto First Red Cross Hospital
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Harigae Hideo
Department Of Hematology And Rheumatology Tohoku University Graduate School Of Medicine
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Watanabe Ryu
Department Of Neurosurgery Iwate Prefectural Central Hospital
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Shirai Tsuyoshi
Department of Internal Medicine, Social Insurance Chuo General Hospital, Japan
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TAKASAWA Naruhiko
Department of Microbiology and Immunology, Tohoku University Graduate School of Medicine
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Tajima Yumi
Department Of Chemistry Faculty Of Science Kobe University
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Harigae Hideo
Department Of Biochemistry Tohoku University School Of Medicine
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Shirai Tsuyoshi
Department Of Bioscience Nagahama Institute Of Bioscience And Technology
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Sato Hiroshi
Department Of Anatomy And Developmental Neurobiology Institute Of Health Biosciences The University
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Takasawa Naruhiko
Department Of Microbiology And Immunology Tohoku University Graduate School Of Medicine
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Fujii Hiroshi
Department Of Biochemistry Niigata University School Of Medicine
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Ishii Tomonori
Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
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Harigae Hideo
Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
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Shirai Tsuyoshi
Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
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Tajima Yumi
Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
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