A Case of Sinobronchial Syndrome Complicated with Myeloperoxidase Antineutrophil Cytoplasmic Antibody Associated Vasculitis: Review of the Literature
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概要
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We report a case of long-standing sinobronchial syndrome complicated by microscopic polyangiitis (MPA) during the clinical course. The patient showed a mild elevation of myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA) 17 months prior to the diagnosis of MPA. Subsequently, her MPO-ANCA level gradually became more elevated, and finally her MPO-ANCA level peaked when purpura appeared. Histologic examination of the skin biopsy was consistent with leukocytoclastic vasculitis. Based on the pathological and clinical findings, a diagnosis of MPA was made. Corticosteroid therapy finally led to a remission of MPA with normalized MPO-ANCA titers.
著者
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ISHIKAWA SHIGENORI
Department of Internal Medicine
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Araki Kunio
Department Of Surgery Matsue National Hospital
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Kadowaki Toru
Department Of Integrated Medicine And Informatics Ehime University Graduate School Of Medicine
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Yano Shuichi
Department Of Mechanical Engineering Yamaguchi University
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Kobayashi Kanako
Department Of Pulmonary Medicine National Matsue Hospital
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Kimura Masahiro
Department Of Chemistry Graduate School Of Science Tokyo Metropolitan University
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Yamadori Ichiro
Department of Pathology, National Hospital Organization Okayama Medical Center, Japan
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YAMADORI Ichiro
Department of Clinical Laboratory Medicine, National Hospital Organization Okayama Medical Center
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Ikeda Toshikazu
Department of Applied Chemistry, College of Engineering, University of Osaka Prefecture
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Wakabayashi Kiryo
Department of Pulmonary Medicine, National Hospital Organization Matsue Medical Center, Japan
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