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A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies

A young woman with microscopic polyangiitis (MPA) requiring hemodialysis showed repeated posterior reversible encephalopathy syndrome (PRES) with spatiotemporal multiple lesions over a period of two months. The first PRES episode with confusion and the second PRES episode with vertigo and nausea wer...

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Autores principales: Asakawa, Shinichiro, Arai, Shigeyuki, Kawagoe, Mika, Ohata, Chiaki, Ono, Wataru, Murata, Hiroshi, Tamura, Yoshifuru, Uchida, Shunya, Shibata, Shigeru, Fujigaki, Yoshihide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152853/
https://www.ncbi.nlm.nih.gov/pubmed/34645762
http://dx.doi.org/10.2169/internalmedicine.7941-21
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author Asakawa, Shinichiro
Arai, Shigeyuki
Kawagoe, Mika
Ohata, Chiaki
Ono, Wataru
Murata, Hiroshi
Tamura, Yoshifuru
Uchida, Shunya
Shibata, Shigeru
Fujigaki, Yoshihide
author_facet Asakawa, Shinichiro
Arai, Shigeyuki
Kawagoe, Mika
Ohata, Chiaki
Ono, Wataru
Murata, Hiroshi
Tamura, Yoshifuru
Uchida, Shunya
Shibata, Shigeru
Fujigaki, Yoshihide
author_sort Asakawa, Shinichiro
collection PubMed
description A young woman with microscopic polyangiitis (MPA) requiring hemodialysis showed repeated posterior reversible encephalopathy syndrome (PRES) with spatiotemporal multiple lesions over a period of two months. The first PRES episode with confusion and the second PRES episode with vertigo and nausea were caused by MPA, hypertension and renal failure. These symptoms were improved by the reinforcement of MPA treatment and blood pressure management. The third PRES episode with nausea, headache, seizure and visual changes was induced by rituximab infusion and hypertension. The PRES was improved with blood pressure and convulsant management. These conditions are challenging to diagnose and treat.
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spelling pubmed-91528532022-06-13 A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies Asakawa, Shinichiro Arai, Shigeyuki Kawagoe, Mika Ohata, Chiaki Ono, Wataru Murata, Hiroshi Tamura, Yoshifuru Uchida, Shunya Shibata, Shigeru Fujigaki, Yoshihide Intern Med Case Report A young woman with microscopic polyangiitis (MPA) requiring hemodialysis showed repeated posterior reversible encephalopathy syndrome (PRES) with spatiotemporal multiple lesions over a period of two months. The first PRES episode with confusion and the second PRES episode with vertigo and nausea were caused by MPA, hypertension and renal failure. These symptoms were improved by the reinforcement of MPA treatment and blood pressure management. The third PRES episode with nausea, headache, seizure and visual changes was induced by rituximab infusion and hypertension. The PRES was improved with blood pressure and convulsant management. These conditions are challenging to diagnose and treat. The Japanese Society of Internal Medicine 2021-10-12 2022-05-01 /pmc/articles/PMC9152853/ /pubmed/34645762 http://dx.doi.org/10.2169/internalmedicine.7941-21 Text en Copyright © 2022 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
Asakawa, Shinichiro
Arai, Shigeyuki
Kawagoe, Mika
Ohata, Chiaki
Ono, Wataru
Murata, Hiroshi
Tamura, Yoshifuru
Uchida, Shunya
Shibata, Shigeru
Fujigaki, Yoshihide
A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
title A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
title_full A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
title_fullStr A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
title_full_unstemmed A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
title_short A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
title_sort young patient with microscopic polyangiitis requiring hemodialysis with complications of repeated episodes of posterior reversible encephalopathy syndrome probably due to different etiologies
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152853/
https://www.ncbi.nlm.nih.gov/pubmed/34645762
http://dx.doi.org/10.2169/internalmedicine.7941-21
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