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Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis
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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society of Internal Medicine
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262698/ https://www.ncbi.nlm.nih.gov/pubmed/29877284 http://dx.doi.org/10.2169/internalmedicine.0817-18 |
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author | Miyoshi, Seigo Nagao, Tomoaki Kukida, Masayoshi Miyoshi, Ken-ichi Namba, Chika Kitazawa, Sohei Nakamura, Yukihiro Hamaguchi, Naohiko Higaki, Jitsuo |
author_facet | Miyoshi, Seigo Nagao, Tomoaki Kukida, Masayoshi Miyoshi, Ken-ichi Namba, Chika Kitazawa, Sohei Nakamura, Yukihiro Hamaguchi, Naohiko Higaki, Jitsuo |
author_sort | Miyoshi, Seigo |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6262698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-62626982018-11-30 Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis Miyoshi, Seigo Nagao, Tomoaki Kukida, Masayoshi Miyoshi, Ken-ichi Namba, Chika Kitazawa, Sohei Nakamura, Yukihiro Hamaguchi, Naohiko Higaki, Jitsuo Intern Med Case Report 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. The Japanese Society of Internal Medicine 2018-06-06 2018-11-01 /pmc/articles/PMC6262698/ /pubmed/29877284 http://dx.doi.org/10.2169/internalmedicine.0817-18 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal 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 Miyoshi, Seigo Nagao, Tomoaki Kukida, Masayoshi Miyoshi, Ken-ichi Namba, Chika Kitazawa, Sohei Nakamura, Yukihiro Hamaguchi, Naohiko Higaki, Jitsuo Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis |
title | Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis |
title_full | Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis |
title_fullStr | Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis |
title_full_unstemmed | Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis |
title_short | Pulmonary Hemorrhaging as a Fatal Complication of IgA Vasculitis |
title_sort | pulmonary hemorrhaging as a fatal complication of iga vasculitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262698/ https://www.ncbi.nlm.nih.gov/pubmed/29877284 http://dx.doi.org/10.2169/internalmedicine.0817-18 |
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