Plasmapheresis Therapy for ANCA Associated Vasculitis with Diffuse Alveolar Hemorrhage: A Case Report and Review of the Literature

被引：0

作者：

Yildirim, Fatma ^{[1
]}

Kara, Iskender ^{[2
]}

Tufan, Abdurrahman ^{[3
]}

Turkoglu, Melda ^{[4
]}

Aygencel, Gulbin ^{[4
]}

机构：

[1] Gazi Univ, Tip Fak, Gogus Hastaliklari Anabilim Dali, Yogun Bakim Yandal Egitim Programi, Ankara, Turkey

[2] Gazi Univ, Tip Fak, Anesteziyol & Reanimasyon Anabilim Dali, Yogun Bakim Yandal Egitim Programi, Ankara, Turkey

[3] Gazi Univ, Tip Fak, Ic Hastaliklan Anabilim Dali, Romatol Bilim Dali, Ankara, Turkey

[4] Gazi Univ, Tip Fak, Ic Hastaliklari Anabilim Dali, Yogun Bakim Bilim Dali, Ankara, Turkey

来源：

GAZI MEDICAL JOURNAL | 2015年 / 26卷 / 04期

关键词：

ANCA-associated vasculitis; diffuse alveolar hemorrhage; plasmapheresis therapy;

D O I：

10.12996/gmj.2015.59

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diffuse alveolar hemorrhage (DAH) is one of the most serious involvement of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis. We report a case of a perinuclear-ANCA associated vasculitis with acute renal failure and DAH. The patient received induction immunosuppressive therapy (corticosteroid and cyclophosphamide), but patient's renal function didn't improve and then DAH occured. Plasmapheresis was started as rescue therapy. The DAH didn't resolve at the end of five procedures. Patient died of acute coronary syndrome due to probable coronary vascular involvement.We concluded that plasmapheresis rescue therapy can't get benefit in such a progressive systemic ANCA-associated vasculitis.

引用

页码：196 / 198

页数：3

共 17 条

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