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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) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/366
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| Title: | Hypertrophic cranial pachymeningitis in mpo-anca-related vasculitis: a case report and literature review |
| Other Titles: | Pachymeningitis in ANCA Related vasculitis |
| Authors: | Watanabe, Kimio
Tani, Yoshihiro
Kimura, Hiroshi
Asai, Jun
Tanaka, Kenichi
Hayashi, Yoshimitsu
Asahi, Koichi
Nakayama, Masaaki
Watanabe, Tsuyoshi |
| Affiliation: | 腎臓高血圧・糖尿病内分泌代謝内科学講座 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 59 |
| Issue: | 1 |
| Start page: | 56 |
| End page: | 62 |
| Issue Date: | 2013 |
| Abstract: | 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. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/366 |
| Full text 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 ID: | 23842516 |
| Related Page: | http://dx.doi.org/10.5387/fms.59.56 |
| Rights: | © 2013 The Fukushima Society of Medical Science |
| Appears in Collections: | Vol.59 (2013)
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