A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis

A 21-year-old woman was admitted to our hospital because of massive intestinal bleeding. She started hemodialysis due to myeloperoxidase antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) at 18 years of age. Her ANCA titers remained stable; however, her C-reactive protein increas...

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Autores principales: Murakawa, Masataka, Arai, Shigeyuki, Kawagoe, Mika, Tomomitsu, Yoshihiro, Odajima, Kohei, Ueno, Masaki, Asakawa, Shinichiro, Hirohama, Daigoro, Nagura, Michito, Yamazaki, Osamu, Tamura, Yoshifuru, Uchida, Shunya, Shibata, Shigeru, Fujigaki, Yoshihide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502660/
https://www.ncbi.nlm.nih.gov/pubmed/33776003
http://dx.doi.org/10.2169/internalmedicine.6721-20
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author Murakawa, Masataka
Arai, Shigeyuki
Kawagoe, Mika
Tomomitsu, Yoshihiro
Odajima, Kohei
Ueno, Masaki
Asakawa, Shinichiro
Hirohama, Daigoro
Nagura, Michito
Yamazaki, Osamu
Tamura, Yoshifuru
Uchida, Shunya
Shibata, Shigeru
Fujigaki, Yoshihide
author_facet Murakawa, Masataka
Arai, Shigeyuki
Kawagoe, Mika
Tomomitsu, Yoshihiro
Odajima, Kohei
Ueno, Masaki
Asakawa, Shinichiro
Hirohama, Daigoro
Nagura, Michito
Yamazaki, Osamu
Tamura, Yoshifuru
Uchida, Shunya
Shibata, Shigeru
Fujigaki, Yoshihide
author_sort Murakawa, Masataka
collection PubMed
description A 21-year-old woman was admitted to our hospital because of massive intestinal bleeding. She started hemodialysis due to myeloperoxidase antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) at 18 years of age. Her ANCA titers remained stable; however, her C-reactive protein increased on 5 mg/day prednisolone before admission. Computed tomography angiography revealed a ruptured jejunal arterial aneurysm. Transcatheter arterial embolization, blood transfusion and the reinforcement of steroid therapy resolved her symptoms of AAV. Our case of a young patient with AAV and medium-sized arterial vasculitis is rare and emphasizes that the ANCA titer does not always rise, especially in patients with nonrenal vasculitis flare-ups.
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spelling pubmed-85026602021-10-26 A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis Murakawa, Masataka Arai, Shigeyuki Kawagoe, Mika Tomomitsu, Yoshihiro Odajima, Kohei Ueno, Masaki Asakawa, Shinichiro Hirohama, Daigoro Nagura, Michito Yamazaki, Osamu Tamura, Yoshifuru Uchida, Shunya Shibata, Shigeru Fujigaki, Yoshihide Intern Med Case Report A 21-year-old woman was admitted to our hospital because of massive intestinal bleeding. She started hemodialysis due to myeloperoxidase antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) at 18 years of age. Her ANCA titers remained stable; however, her C-reactive protein increased on 5 mg/day prednisolone before admission. Computed tomography angiography revealed a ruptured jejunal arterial aneurysm. Transcatheter arterial embolization, blood transfusion and the reinforcement of steroid therapy resolved her symptoms of AAV. Our case of a young patient with AAV and medium-sized arterial vasculitis is rare and emphasizes that the ANCA titer does not always rise, especially in patients with nonrenal vasculitis flare-ups. The Japanese Society of Internal Medicine 2021-03-29 2021-09-15 /pmc/articles/PMC8502660/ /pubmed/33776003 http://dx.doi.org/10.2169/internalmedicine.6721-20 Text en Copyright © 2021 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
Murakawa, Masataka
Arai, Shigeyuki
Kawagoe, Mika
Tomomitsu, Yoshihiro
Odajima, Kohei
Ueno, Masaki
Asakawa, Shinichiro
Hirohama, Daigoro
Nagura, Michito
Yamazaki, Osamu
Tamura, Yoshifuru
Uchida, Shunya
Shibata, Shigeru
Fujigaki, Yoshihide
A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis
title A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis
title_full A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis
title_fullStr A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis
title_full_unstemmed A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis
title_short A Ruptured Jejunal Arterial Aneurysm in a Young Woman Undergoing Chronic Hemodialysis Due to Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis
title_sort ruptured jejunal arterial aneurysm in a young woman undergoing chronic hemodialysis due to myeloperoxidase-antineutrophil cytoplasmic antibody-associated vasculitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502660/
https://www.ncbi.nlm.nih.gov/pubmed/33776003
http://dx.doi.org/10.2169/internalmedicine.6721-20
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