HYPERTROPHIC CRANIAL PACHYMENINGITIS IN MPO-ANCA-RELATED VASCULITIS: A CASE REPORT AND LITERATURE REVIEW
スポンサーリンク
概要
- 論文の詳細を見る
A 75-year-old woman presented with rapidly progressive glomerulonephritis with positive results for anti-myeloperoxidase anti-neutrophil cytoplasmic antibody (MPO-ANCA). Corticosteroid therapy was successfully introduced. However, 7 months later, magnetic resonance imaging revealed marked swelling in the falx cerebri and high density regions were apparent on gallium scintigraphy, leading to diagnosis of hypertrophic cranial pachymeningitis (HCP). Symptoms improved with intensified corticosteroid therapy, but radiological examination 9 months later revealed right nasal sinus inflammation accompanied by osteolytic change. Granulomatosis with polyangiitis (Wegener's) was finally diagnosed. HCP is an important complication in MPO-ANCA-related vasculitis, and needs to be considered during the clinical course.
著者
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Nakayama Masaaki
Department Of Applied Physics Faculty Of Engineering Osaka City University
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Hayashi Yoshimitsu
Department Of Internal Medicine Nagoya Kosein Hospital
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Asahi Koichi
Department Of Internal Medicine Iii Fukushima Medical University School Of Medicine
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Asai Jun
Department Of Dermatology Graduate School Of Medical Science Kyoto Prefectural University Of Medicin
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Watanabe Kimio
Department Of Mathematics University Of Tsukuba
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Tanaka Kenichi
Department Of Anesthesiology Emory University School Of Medicine
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Kimura Hiroshi
Department Of Anatomy Ii Shiga University Of Medical Science
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Watanabe Tsuyoshi
Department Of Anatomy Asahikawa Medical University
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TANI YOSHIHIRO
Department of Internal Medicine, Division of Nephrology, Hypertension, Endocrinology, and Diabetology/Metabolism, Fukushima Medical University School of Medicine
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TANAKA KENICHI
Department of Internal Medicine, Division of Nephrology, Hypertension, Endocrinology, and Diabetology/Metabolism, Fukushima Medical University School of Medicine
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KIMURA HIROSHI
Department of Internal Medicine, Division of Nephrology, Hypertension, Endocrinology, and Diabetology/Metabolism, Fukushima Medical University School of Medicine
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HAYASHI YOSHIMITSU
Department of Internal Medicine, Division of Nephrology, Hypertension, Endocrinology, and Diabetology/Metabolism, Fukushima Medical University School of Medicine
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