福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.59 (2013) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/366
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タイトル: | Hypertrophic cranial pachymeningitis in mpo-anca-related vasculitis: a case report and literature review |
その他のタイトル: | Pachymeningitis in ANCA Related vasculitis |
著者: | Watanabe, Kimio Tani, Yoshihiro Kimura, Hiroshi Asai, Jun Tanaka, Kenichi Hayashi, Yoshimitsu Asahi, Koichi Nakayama, Masaaki Watanabe, Tsuyoshi |
学内所属: | 腎臓高血圧・糖尿病内分泌代謝内科学講座 |
誌名/書名: | Fukushima Journal of Medical Science |
巻: | 59 |
号: | 1 |
開始ページ: | 56 |
終了ページ: | 62 |
発行日: | 2013年 |
抄録: | 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. |
出版者: | The Fukushima Society of Medical Science |
出版者(異表記): | 福島医学会 |
本文の言語: | eng |
このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/366 |
本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/366/1/FksmJMedSci_59_p56.pdf |
ISSN: | 0016-2590 2185-4610 |
DOI: | 10.5387/fms.59.56 |
PubMed番号: | 23842516 |
関連ページ: | http://dx.doi.org/10.5387/fms.59.56 |
権利情報: | © 2013 The Fukushima Society of Medical Science |
出現コレクション: | Vol.59 (2013)
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