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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...

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Autores principales: Miyoshi, Seigo, Nagao, Tomoaki, Kukida, Masayoshi, Miyoshi, Ken-ichi, Namba, Chika, Kitazawa, Sohei, Nakamura, Yukihiro, Hamaguchi, Naohiko, Higaki, Jitsuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
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.
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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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