RECURRENT WEGENER'S GRANULOMATOSIS WITH SUBGLOTTIC GRANULATION
スポンサーリンク
概要
- 論文の詳細を見る
While following the course of patients with Wegener's granulomatosis (WG) in which it had been possible to achieve a remission, we encountered a patient in whom we observed granuloma formation in the subglottis. A tracheotomy was performed because of the risk of respiratory distress, and after that there was a recrudescence of the patient's WG. During the course of the above, the patient remained cANCA (anti-neutrophil cytoplasmis antibody with cytoplasmic pattern)-negative. When these facts were considered, it appeared that when the lesions are localized and progressing gradually, cANCA positivity does not develop. While cANCA test has gradually become a powerful tool for the diagnosis of WG, a comprehensive physical examination to identify localized lesions, together with biopsy and histopathological examination, should allow the diagnosis of WG.
- 福島医学会の論文
著者
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ANZAI Tomohiro
Department of Cardiovascular Surgery, School of Medicine, Keio University
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OKAMURA HIRO-OKI
Department of Anatomy II, Fukushima Medical University School of Medicine
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MISAWA TAKANORI
Department of Otolaryngology, Ohta-kinen General Hospital
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