ANCA-related Crescentic Glomerulonephritis in a Patient with Scleroderma without Marked Dermatological Change and Malignant Hypertension
スポンサーリンク
概要
- 論文の詳細を見る
A 64-year-old woman with scleroderma without marked dermatological change developed anti-neutrophil cytoplasmic autoantibody (ANCA)-related renal failure. She had neither malignant hypertension nor elevation of plasma renin concentration. Renal biopsy showed crescentic glomerulonephritis (pauci-immune type) and the myeloperoxidase-specific anti-neutrophil cytoplasmic autoantibody (MPO-ANCA) titer was found to be elevated to 757 IU/ml. Methylprednisolone pulse therapy followed by oral prednisolone effectively suppressed renal failure and lowered the MPO-ANCA titer. We believe this is a rare case of ANCA-related renal failure in a patient with scleroderma without marked dermatological change.
- 社団法人 日本内科学会の論文
- 2004-06-01
著者
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Hiroe Michiaki
The Department Of Medicine International Medical Center Of Japan
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TOMIOKA Mai
the Department of Medicine, International Medical Center of Japan
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HINOSHITA Fumihiko
the Department of Medicine, International Medical Center of Japan
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MIYAUCHI Naoko
the Department of Medicine, International Medical Center of Japan
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AKIYAMA Yurika
the Department of Medicine, International Medical Center of Japan
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SAIMA Shigeki
the Department of Medicine, International Medical Center of Japan
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Tomioka Mai
The Department Of Medicine International Medical Center Of Japan
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Saima Shigeki
The Department Of Medicine International Medical Center Of Japan
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Miyauchi Naoko
The Department Of Medicine International Medical Center Of Japan
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Akiyama Yurika
The Department Of Medicine International Medical Center Of Japan
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Hinoshita Fumihiko
The Department Of Medicine International Medical Center Of Japan
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