Proteinase 3 Anti-Neutrophil Cytoplasmic Antibody (PR3-ANCA) Positive IgG4-Related Retroperitoneal Fibrosis: Utility of PET-CT with 18F-Fluorodeoxy Glucose (FDG)
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概要
- 論文の詳細を見る
A 55-year-old man showed a serum creatinine level of 1.51 mg/dL, CRP of 0.79 mg/dL, and proteinase 3 anti-neutrophil cytoplasmic antibody (PR3-ANCA) of 43.9 EU (normal range: below 10). The serum levels and ratios of IgG1, IgG2, IgG3, and IgG4 to total IgG were 1,570 mg/dL (49%), 1,190 mg/dL (37%), 82 mg/dL (3%), and 351 mg/dL (11%), respectively. Positron emission tomography and CT with 18F-fluorodeoxyglucose (PET-CT) demonstrated retroperitoneal fibrosis. After a diagnosis of IgG4-related retroperitoneal fibrosis with PR3-ANCA was made, oral prednisolone improved serum creatinine and the titer of PR3-ANCA to normal levels, with no abnormal findings on PET-CT.
著者
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Miura Naoto
Division Of Nephrology And Rheumatology Department Of Internal Medicine Aichi Medical University Sch
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Imai Hirokazu
Division Of Nephrology And Rheumatology Department Of Internal Medicine Aichi Medical University Sch
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Ishihara Satoshi
Department Of Applied Physics Faculty Of Engineering University Of Tokyo
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Imai Hirokazu
Division of Nephrology and Rheumatology, Department of Internal Medicine, Aichi Medical University School of Medicine, Japan
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Wakamatsu Ryo
Department of Nephrology and Endocrinology, Kizawa Memorial Hospital, Japan
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Banno Shogo
Division of Nephrology and Rheumatology, Department of Internal Medicine, Aichi Medical University School of Medicine, Japan
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Kotani Shie
Department of Nephrology and Endocrinology, Kizawa Memorial Hospital, Japan
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Itoh Ayano
Division of Nephrology and Rheumatology, Department of Internal Medicine, Aichi Medical University School of Medicine, Japan
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Miyamoto Kanyu
Department of Nephrology and Endocrinology, Kizawa Memorial Hospital, Japan
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Yoshino Masabumi
Department of Nephrology and Endocrinology, Kizawa Memorial Hospital, Japan
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Takami Kazuhisa
Department of Nephrology and Endocrinology, Kizawa Memorial Hospital, Japan
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Ishihara Satoshi
Department of Urology, Kizawa Memorial Hospital, Japan
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