Chronic Lupus Peritonitis with Massive Ascites at Elderly Onset : Case Report and Review of the Literature
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概要
- 論文の詳細を見る
A 77-year-old Japanese woman with massive painless ascites caused by chronic lupus peritonitis is reported. Peritoneal effusion had been resistant to the administration of steroids during the whole treatment period. It was characteristic that the titers of anti-DNA antibodies and the level of immune complex were elevated in the peritoneal fluid with suppressed levels of complements in ascites, although serum immunological markers reflecting the activity of SLE presented improvement after initiation of the treatment. Fifteen patients with chronic lupus peritonitis were reported previously. We reviewed the literature and suggest that chronic lupus peritonitis at elderly onset may demonstrate a poor response to the glucocorticoid therapy because of persistent inflammation in the peritoneum and the presence of impaired vascular circulation in addition to immunological mechanisms.(Internal Medicine 41: 1056-1061, 2002)
- 社団法人 日本内科学会の論文
- 2002-11-01
著者
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Kuroda Naoto
The First Department Of Pathology Kochi Medical School
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Nanamiya Wakako
The Second Department Of Internal Medicine Kochi Medical School
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Hashimoto Kozo
Department Of Endocrinology Metabolism And Nephrology Kochi Medical School Kochi University
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HASHIMOTO Kozo
the Second Department of Internal Medicine, Kochi Medical School
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NISHIYA Koji
Second Department of Internal Medicine, Kochi Medical School
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ITO Hiroyuki
The Second Department of Internal Medicine, Kochi Medical School
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ITOH Hiroyuki
Second Department of Internal Medicine, Kochi Medical School
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Nishiya Koji
高知医科大学 2内
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Nishiya Koji
The Second Department Of Internal Medicine
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Nishiya Koji
The Second Department Of Internal Medicine Kochi Medical School
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INOUE Mari
the Second Department of Internal Medicine, Kochi Medical School
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SASAOKA Atsushi
the Second Department of Internal Medicine, Kochi Medical School
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CHIJIWA Tatsumi
the Second Department of Internal Medicine, Kochi Medical School
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ITOH Hiroyuki
the Department of Internal Medicine.
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Nakagawa Osamu
Department Of Internal Medicine San-ai Hospital
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Nakagawa Osamu
Department Of Biological Chemistry Faculty Of Science Okayama University Of Science
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Hashimoto K
Kochi Medical School Kochi Jpn
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Hashimoto Kozo
Second Department Of Internal Medicine Kochi Medical School
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Sasaoka Atsushi
The Second Department Of Internal Medicine Kochi Medical School
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Inoue Mari
The Second Department Of Internal Medicine Kochi Medical School
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Hashimoto Kozo
The Second Department Of Internal Medicine
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Chijiwa Tatsumi
The Second Department Of Internal Medicine Kochi Medical School
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Hashimoto Kozo
The Second Department Of Internal Medicine Kochi Medical School
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ITO Hiroyuki
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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