Temporal Artery Involvement in Microscopic Polyangitis
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概要
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An 81-year-old man was hospitalized because of fever and pain in the temporal region. Temporal artery biopsy revealed temporal arteritis; steroid therapy was started. Chest computed tomography and kidney biopsy revealed interstitial pneumonia and necrotizing crescentic glomerulonephritis, respectively. Because his myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) level was 215.0 U/mL, a diagnosis of microscopic polyangitis (MPA) was made. The patient was discharged after reduction of the steroid dose. However, his respiratory symptoms exacerbated, necessitating rehospitalization. He died 1 week later due to respiratory failure. MPA rarely involves the temporal artery. In the cases of large vessel lesions, ruling out MPA is important.
著者
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Tsujimoto Ikuko
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Tanaka Akihito
Department Of Agrobioscience Graduate School Of Agricultural Science Kobe University
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ITO Yukiko
Department of Biopharmaceutics, Kyoto Pharmaceutical University
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Sugiura Yasuhiro
Department of Nephrology, Nagoya Ekisaikai Hospital, Japan
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Sezaki Ryozo
Department of Nephrology, Nagoya Ekisaikai Hospital, Japan
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Ujihira Nobuko
Department of Pathology, Nagoya Ekisaikai Hospital, Japan
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Tsujimoto Ikuko
Department of Nephrology, Nagoya Ekisaikai Hospital, Japan
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