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Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria

A previously healthy 77-year-old Japanese man presented with a 2-week history of daily fevers peaking at 38°C, chills, hearing loss, and almost 10 kg of unintentional weight loss over 2 months. Pure tone audiometry showed mixed conductive-sensorineural hearing loss: right, 63.6 dB, left, 80.0 dB. Bl...

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Detalles Bibliográficos
Autores principales: Kobari, Yusuke, Nagasawa, Tasuku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5790729/
https://www.ncbi.nlm.nih.gov/pubmed/29021451
http://dx.doi.org/10.2169/internalmedicine.8704-16
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author Kobari, Yusuke
Nagasawa, Tasuku
author_facet Kobari, Yusuke
Nagasawa, Tasuku
author_sort Kobari, Yusuke
collection PubMed
description A previously healthy 77-year-old Japanese man presented with a 2-week history of daily fevers peaking at 38°C, chills, hearing loss, and almost 10 kg of unintentional weight loss over 2 months. Pure tone audiometry showed mixed conductive-sensorineural hearing loss: right, 63.6 dB, left, 80.0 dB. Blood tests after admission showed a high myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) level (>300 U/mL), so we suspected ANCA-related vasculitis. The Japanese Otorhinolaryngology Society has recently been advocating the concept of otitis media with ANCA-associated vasculitis (OMAAV). Our case met the criteria proposed, leading to our diagnosis.
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spelling pubmed-57907292018-01-31 Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria Kobari, Yusuke Nagasawa, Tasuku Intern Med Case Report A previously healthy 77-year-old Japanese man presented with a 2-week history of daily fevers peaking at 38°C, chills, hearing loss, and almost 10 kg of unintentional weight loss over 2 months. Pure tone audiometry showed mixed conductive-sensorineural hearing loss: right, 63.6 dB, left, 80.0 dB. Blood tests after admission showed a high myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) level (>300 U/mL), so we suspected ANCA-related vasculitis. The Japanese Otorhinolaryngology Society has recently been advocating the concept of otitis media with ANCA-associated vasculitis (OMAAV). Our case met the criteria proposed, leading to our diagnosis. The Japanese Society of Internal Medicine 2017-10-11 2017-12-15 /pmc/articles/PMC5790729/ /pubmed/29021451 http://dx.doi.org/10.2169/internalmedicine.8704-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kobari, Yusuke
Nagasawa, Tasuku
Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria
title Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria
title_full Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria
title_fullStr Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria
title_full_unstemmed Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria
title_short Otitis Media with ANCA-associated Vasculitis: A New Concept and the Associated Criteria
title_sort otitis media with anca-associated vasculitis: a new concept and the associated criteria
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5790729/
https://www.ncbi.nlm.nih.gov/pubmed/29021451
http://dx.doi.org/10.2169/internalmedicine.8704-16
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