Source:http://linkedlifedata.com/resource/pubmed/id/10586591
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2000-2-11
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pubmed:abstractText |
A 68-year-old woman was admitted to our hospital because of fever of unknown origin and pain in the lower extremities. Six weeks after onset, diffuse infiltrative shadows were observed on chest X-ray films, and marked hypoxemia and progressive renal dysfunction suddenly developed. Corticosteroid therapy (2 courses of pulse therapy, each consisting of methylprednisolone at 500 mg/day for 3 days) was not effective, and the patient died 9 weeks after onset because of respiratory failure. Serologic tests were positive for MPO-ANCA. Histopathologic findings at autopsy disclosed arteriolar fibrinoid necrosis in tissues of the liver, spleen, lungs, and kidneys, thus yielding a diagnosis of microscopic polyangiitis. Lung specimens also demonstrated massive alveolar hemorrhaging in the mid-lung fields and diffuse alveolar damage (DAD) in all lobes. Pulmonary hemorrhage coexistent with DAD worsens the prognosis for microscopic polyangiitis in patients positive for MPO-ANCA.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1343-3490
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
807-11
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10586591-Aged,
pubmed-meshheading:10586591-Antibodies, Antineutrophil Cytoplasmic,
pubmed-meshheading:10586591-Biological Markers,
pubmed-meshheading:10586591-Fatal Outcome,
pubmed-meshheading:10586591-Female,
pubmed-meshheading:10586591-Hemorrhage,
pubmed-meshheading:10586591-Humans,
pubmed-meshheading:10586591-Lung Diseases,
pubmed-meshheading:10586591-Peroxidase,
pubmed-meshheading:10586591-Pulmonary Alveoli,
pubmed-meshheading:10586591-Vasculitis
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pubmed:year |
1999
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pubmed:articleTitle |
[An autopsy case of MPO-ANCA-positive microscopic polyangiitis with manifestations of pulmonary hemorrhage and diffuse alveolar damage].
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pubmed:affiliation |
Department of Respiratory Medicine, Takatsuki Red Cross Hospital, Osaka, Japan.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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