Diffuse Alveolar Hemorrhage in a Patient with Ankylosing Spondylitis
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概要
- 論文の詳細を見る
Ankylosing spondylitis (AS) primarily affects the spine and axial skeleton. Various pulmonary manifestations have been reported; however, diffuse alveolar hemorrhage (DAH) has not been previously described in a patient with AS. A 49-year-old man with longstanding AS visited our hospital complaining of progressive dyspnea and hemoptysis. DAH was diagnosed based on the findings of chest computed tomography and bronchoscopy. No positive findings suggested any cause of DAH other than weakly positive results for perinuclear antineutrophil cytoplasmic antibodies on indirect immunofluorescence. Following the administration of steroid and plasmapheresis therapy, the patient's symptoms and chest radiographic findings improved. Further clinical case reports and investigations are needed to clarify whether DAH represents a possible pulmonary manifestation of AS.
- 社団法人 日本内科学会の論文
著者
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Sakamoto Noriho
Second Dep. Of Internal Medicine Nagasaki Univ. School Of Medicine
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Ishimatsu Yuji
Second Dep. Of Internal Medicine Nagasaki Univ. School Of Medicine
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Kakugawa Tomoyuki
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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Kohno Shigeru
Second Dep. Of Internal Medicine Nagasaki Univ. Graduate School Of Biomedical Sciences Nagasaki Univ
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Hara Shintaro
Second Department of Internal Medicine, Nagasaki University School of Medicine
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Shimada Midori
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Kohno Shigeru
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Sakamoto Noriho
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Kakugawa Tomoyuki
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Ishimatsu Yuji
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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