Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis

被引：6

作者：

Miyoshi, Seigo ^{[1
]}

Nagao, Tomoaki ^{[1
]}

Kukida, Masayoshi ^{[1
]}

Miyoshi, Ken-ichi ^{[1
]}

Namba, Chika ^{[2
]}

Kitazawa, Sohei ^{[3
]}

Nakamura, Yukihiro ^{[1
]}

Hamaguchi, Naohiko ^{[1
]}

Higaki, Jitsuo ^{[1
]}

机构：

[1] Ehime Univ, Dept Cardiol Pulmonol Hypertens & Nephrol, Grad Sch Med, Matsuyama, Ehime, Japan

[2] Ehime Univ, Dept Dermatol, Grad Sch Med, Matsuyama, Ehime, Japan

[3] Ehime Univ, Dept Mol Pathol, Grad Sch Med, Matsuyama, Ehime, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 21期

关键词：

IgA vasculitis; pulmonary hemorrhaging; HENOCH-SCHONLEIN PURPURA; DIFFUSE ALVEOLAR HEMORRHAGE; ANAPHYLACTOID PURPURA; SCHOENLEIN PURPURA; ATYPICAL PRESENTATION; GLOMERULONEPHRITIS; INVOLVEMENT;

D O I：

10.2169/internalmedicine.0817-18

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 64-year-old man was admitted to our hospital for purpuric rash, joint pain, and a fever. He had earlier undergone a follow-up examination for interstitial lung disease. At the current visit, the diagnosis was immunoglobulin A (IgA) vasculitis, based on skin and renal biopsy findings. He developed sudden breathlessness and hemoptysis. Chest computed tomography revealed ground glass opacity in the right lower lung fields. suggesting pulmonary hemorrhaging associated with IgA vasculitis. Despite steroid and cyclophosphamide therapy, and plasma exchange, he died 52 days after admission. Early aggressive therapies may be recommended for old patients with IgA vasculitis who have an additional comorbidities.

引用

页码：3141 / 3147

页数：7

共 42 条

[1]

Aeschlimann FA, 2017, CASE REP NEPHROL DIA, V7, P73, DOI 10.1159/000477662

[2] Henoch-Schonlein nephritis complicated with pulmonary hemorrhage but treated successfully [J].