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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
Pt 2
pubmed:dateCreated
2008-1-21
pubmed:abstractText
Pulmonary-renal syndrome (PRS) is defined as a diffuse alveolar hemorrhage and rapidly progressive glomerulonephritis. We present a retrospective study of 22 consecutive patients with Wegener's granulomatosis (WG). Logistic regression analysis and a Wilcoxon test were included in the statistics. Survival time death risk were assessed using the Kaplan-Meier estimator and the Cox proportional hazard model. At recognition, the median Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG) was 30.0 (23.0-32.5), PO2 on air was 5.8+/-0.5 kPa, creatinine level was 7.2+/-1.4 mg/dl. Fifteen patients were PR3 positive, among them 4 patients were also positive for anti-glomerular basement membrane antibodies (anti-GBM). Renal biopsy was performed in 16 patients. Histological examination reviled segmental necrotizing crescentic GN in 15 patients. Thirteen patients were initially dialysis-dependent, and 7 required ventilatory support. All patients were treated with methylprednisolone and cyclophosphamide (pulses). The patients were followed up for 24+/-8 months. Of the survivors, 55% and 31% were alive after 1 and 2 years. Early recognition and proper treatment may improve outcome in PRS.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0867-5910
pubmed:author
pubmed:issnType
Print
pubmed:volume
58 Suppl 5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
839-46
pubmed:meshHeading
pubmed-meshheading:18204198-Adrenal Cortex Hormones, pubmed-meshheading:18204198-Adult, pubmed-meshheading:18204198-Aged, pubmed-meshheading:18204198-Anti-Glomerular Basement Membrane Disease, pubmed-meshheading:18204198-Antibodies, Antineutrophil Cytoplasmic, pubmed-meshheading:18204198-Autoantibodies, pubmed-meshheading:18204198-Female, pubmed-meshheading:18204198-Humans, pubmed-meshheading:18204198-Immunosuppressive Agents, pubmed-meshheading:18204198-Kidney Diseases, pubmed-meshheading:18204198-Lung Diseases, pubmed-meshheading:18204198-Male, pubmed-meshheading:18204198-Middle Aged, pubmed-meshheading:18204198-Myeloblastin, pubmed-meshheading:18204198-Peroxidase, pubmed-meshheading:18204198-Renal Dialysis, pubmed-meshheading:18204198-Survival Analysis, pubmed-meshheading:18204198-Wegener Granulomatosis
pubmed:year
2007
pubmed:articleTitle
The role ANCA and anti-GBM antibodies in pulmonary-renal syndrome due to Wegener's granulomatosis.
pubmed:affiliation
Systemic Vasculitis Outpatient Clinic of the Department of Family Medicine, Internal and Metabolic Diseases, Nephrology Unit, Warsaw Medical University, Warsaw, Poland. kzycinska@poczta.fm
pubmed:publicationType
Journal Article