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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-8-14
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pubmed:abstractText |
Microscopic polyangiitis, a condition recently differentiated from macroscopic periarteritis nodosa, is characterized by small vessel damage, pauciimmune necrotizing glomerulonephritis and presence of perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA). Arthralgia is a common symptom often present early in the disease, and other joint manifestations have also been reported. We report a case with polyarthritis as the first manifestation. Perinuclear ANCA was found in a moderate titer. A renal biopsy done six months after the onset of joint symptoms to investigate rapidly progressive renal failure established the diagnosis. The p-ANCA exhibited antimyeloperoxidase specificity. In the discussion we review the diagnosis of microscopic polyangiitis and of concomitant polyarthritis and p-ANCA production. ANCA is present in some patients with rheumatoid arthritis or systemic lupus erythematosus. It is important to determine the specificity of the ANCA since presence of p-ANCA with antimyeloperoxidase specificity in a patient with polyarthritis is highly suggestive of systemic vasculitis.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
May
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pubmed:issn |
1169-8446
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
64
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
342-4
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:9190009-Acute Kidney Injury,
pubmed-meshheading:9190009-Aged,
pubmed-meshheading:9190009-Antibodies, Antineutrophil Cytoplasmic,
pubmed-meshheading:9190009-Arthritis, Rheumatoid,
pubmed-meshheading:9190009-Diagnosis, Differential,
pubmed-meshheading:9190009-Fluorescent Antibody Technique, Indirect,
pubmed-meshheading:9190009-Humans,
pubmed-meshheading:9190009-Male,
pubmed-meshheading:9190009-Sensitivity and Specificity,
pubmed-meshheading:9190009-Vasculitis
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pubmed:year |
1997
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pubmed:articleTitle |
Polyarthritis with perinuclear antineutrophil cytoplasmic antibody inaugurating microscopic polyangiitis. Report of a case.
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pubmed:affiliation |
Department of Medicine, René-Dubos Hospital, Pontoise, France.
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pubmed:publicationType |
Journal Article,
Case Reports
|