Pulmonary Hypertension in Systemic Lupus Erythematosus: A Report of an Autopsied Case.
スポンサーリンク
概要
- 論文の詳細を見る
An autopsied case of systemic lupus erythematosus with pulmonary hypertension is reported. A 29-year-old woman with a seven-year history of polyarthralgia, butterfly rash, nephrotic syndrome and Raynaud's phenomenon was admitted because of progressive dyspnea on exertion. Tests for antinuclear antibody, anti-cardiolipin antibody and lupus anticoagulant were positive. Echocardiographic examination revealed right ventricular hypertrophy and a moderate pericardial effusion. Estimated systolic pulmonary arterial pressure was 53 mmHg. Despite treatment with corticosteroids including pulse methylprednisolone therapy, lipo-PGE1 and warfarin, she died of progressive congestive heart failure. Postmortem examination of the pulmonary vasculature revealed findings consistent with plexogenic pulmonary arteriopathy, without evidence of vasculitis, fibrinoid necrosis, or thromboemboli.(Internal Medicine 33: 540-542, 1994)
- 社団法人 日本内科学会の論文
著者
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Okamoto Hiroshi
the Department of Cardiovascular Medicine, Graduate School of Medicine
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OKAZAKI Hitoaki
the Department of Rheumatology and Clinical Immunology, Jichi Medical School
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KANO Shogo
the Division of Clinical Immunology Jichi Medical School
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Shimizu Hideo
Department Of Chemical Technology Tokyo Institute Of Technology
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SATO Masaki
The Division of Clinical Immunology, Jichi Medical School
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SATO Masaki
the Department of Respiratory Disease, Shimada Municipal Hospital
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OHTAKA Akihiko
Nephrology, Department of Medicine, Jichi Medical School
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MINATO Nagahiro
The Department of Immunology and Cell Biology, Faculty of Medicine, Kyoto University
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KANO Shogo
The Division of Clinical Immunology, Jichi Medical School
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OKAMOTO Hiroshi
The Division of Rheumatology, Juntendo University School of Medicine
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OKAZAKI Hitoaki
The Division of Clinical Immunology, Jichi Medical School
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