Renal Crisis Due to Intimal Hyperplasia in a Patient with Mixed Connective Tissue Disease (MCTD) Accompanied by Pulmonary Hypertension
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概要
- 論文の詳細を見る
We report the case of a young female patient with mixed connective tissue disease (MCTD). She had marked pulmonary hypertension (PH) without lung fibrosis. She developed renal crisis after delivery by caesarean section. Renal biopsy revealed severe renal intimal hyperplasia with mild glomerular changes. The combination of intravenous pulse high-dose corticosteroid and cyclophosphamide (CPA) infusion and subsequent corticosteroid oral administration rescued her from renal crisis. This suggests that the possibility of co-incident renal intimal hyperplasia should be considered in patients with MCTD accompanied by PH. In addition, there might be some clinical benefit in combining high-dose corticosteroid with CPA infusion in the treatment of renal crisis due to intimal hyperplasia in MCTD.(Internal Medicine 40: 1250-1253, 2001)
- 社団法人 日本内科学会の論文
- 2001-12-01
著者
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Yamaguchi Toru
Department of Ethnology and Archaeology, Keio University
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Tanaka Toshio
Department Of Respiratory Medicine Allergy And Rheumatic Disease Osaka University Graduate School Of
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Kanzaki Toru
Department Of Obstetrics And Gynecology Osaka University School Of Medicine
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Kanzaki Toru
Department Of Molecular Medicine And Obstetrics Osaka University Medical School
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OHSHIMA Shiro
Department of Internal Medicine Osaka University
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SAEKI Yukihiko
Department of Internal Medicine Osaka University
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Tanaka Toshio
Department Of Respiratory Medicine Allergy And Rheumatic Diseases Osaka University Medical School
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Yamaguchi Toru
Department Of Ethnology And Archaeology Keio University
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Ohshima Shiro
Division Of Clinical Investigation National Hospital Organization Osaka-minami Medical Center
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Ohshima Shiro
Department Of Clinical Research
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Saeki Yukihiko
Department Of Clinical Investigation National Hospital Organization Osaka-minami Medical Center
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MATSUSHITA Masato
Department of Rheumatology, NHO Osaka-Minami Medical Center
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Yamaguchi Toru
Department Of Molecular Medicine And Obstetrics Osaka University Medical School
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SAEKI Yukihiro
Department of Clinical Research
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TSUKADA Satoshi
Department of Molecular Medicine and Obstetrics Osaka University Medical School
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KOHMO Satoshi
Department of Molecular Medicine and Obstetrics Osaka University Medical School
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Matsushita Masato
Department Of Rheumatology Nho Osaka-minami Medical Center
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Tanaka Toshio
Department Of Cardiology Matsusaka Central General Hospital
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Suzuki Yukio
San-ei-gen F.f.i. Inc.
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Tanaka Toshio
Department Of Applied Physics Faculty Of Engineering Tokyo University
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Yamaguchi Toru
Department of Electronic System Engineering, Tokyo Metropolitan Institute of Technology
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Tanaka Toshio
Department of Applied Chemistry, Faculty of Engineering, Osaka Univeristy
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