Churg-Strauss Syndrome with a Clinical Condition Similar to IgG4-Related Kidney Disease: A Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 68-year-old Japanese woman with asthma of recent onset and a long history of membranous glomerulonephropathy (MN) was admitted because of multifocal pulmonary infiltrates, marked eosinophilia, mild renal dysfunction, a rash on her feet, and right median nerve paralysis. Although MPO- and PR3-ANCA were negative, skin biopsy demonstrated leukocytoclastic vasculitis and Churg-Strauss Syndrome (CSS) was diagnosed. She also had salivary gland swelling and a high serum IgG4 level. Renal biopsy revealed MN with eosinophil-rich tubulointerstitial nephropathy. Her symptoms resolved after the start of corticosteroid therapy. The present case shows that ANCA-negative CSS can have a clinical condition similar to IgG4-related kidney disease.
著者
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Sawa Naoki
Nephrology Center Toranomon Hospital
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Suwabe Tatsuya
Nephrology Center Toranomon Hospital
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Ubara Yoshifumi
Nephrology Center Toranomon Hospital
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Hayami Noriko
Nephrology Center Toranomon Hospital Kajigaya
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Hoshino Junichi
Nephrology Center Toranomon Hospital
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Hiramatsu Eriko
Nephrology Center Toranomon Hospital
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OHASHI Kenichi
Department of Human Pathology, Graduate School of Medicine, University of Tokyo
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KAWABATA Masateru
Department of Pulmonary and Critical Care Medicine, Toranomon Hospital
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TAKAICHI Kennmei
Nephrology Center, Toranomon Hospital
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Hasegawa Eiko
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Ayuzawa Nobuhiro
Nephrology Center, Toranomon Hospital, Japan
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Keiichi Sumida
Nephrology Center, Toranomon Hospital, Japan
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Masayuki Yamanouchi
Nephrology Center, Toranomon Hospital, Japan
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Sawa Naoki
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Ubara Yoshifumi
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Hayami Noriko
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Suwabe Tatsuya
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Takaichi Kennmei
Nephrology Center, Toranomon Hospital, Japan
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Takaichi Kennmei
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Kawabata Masateru
Department of Respiratory Medicine, Toranomon Hospital, Japan
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