Diffuse Panbronchiolitis with P-ANCA-positive Arteritis and Necrotizing Glomerulitis.

• Saku Naohiko

  Department of Pulmonary Medicine, Jichi Medical School

• Sugiyama Yukihiko

  Department of Pulmonary Medicine, Jichi Medical School

• Kitamura Satoshi

  Department of Pulmonary Medicine, Jichi Medical School

• Fujii Takeshi

  Department of Pathology, Jichi Medical School

• Saitoh Ken

  Department of Pathology, Jichi Medical School

Bibliographic Information

Other Title

• びまん性汎細気管支炎に，Ｐ‐ＡＮＣＡ陽性の血管炎，壊死性糸球体腎炎を来たした１例

Abstract

A 53-year-old man was admitted to our hospital with a skin eruption, a high fever, and diplopia in April of 1992. He had been given a diagnosis of diffuse panbronchiolitis in 1981. After administration of erythromycin began in 1987, symptoms and chest roentgenographic findings gradually improved. Arteritis of peribronchial muscular arteries with medial destruction was seen in lung biopsy specimens, and periglomerular granulomatous inflammation and necrotizing glomerulitis were seen in renal biopsy specimens. P-ANCA was found, but a test for cytoplasmic ANCA (which is the most specific antigen of Wegener's granulomatosis) was negative. Chronic pulmonary infection due to diffuse panbronchiolitis might have formed ANCA, which may have caused the vasculitis in this patient.

Journal

• The Japanese journal of thoracic diseases

  The Japanese journal of thoracic diseases 34 (4), 434-438, 1996

  The Japanese Respiratory Society

Keywords

• Diffuse panbronchiolitis
• Vasculitis
• Necrotizing glomemulitis
• Antineutrophil cytoplasmic antibodies

Details

• CRID: 1390001205017509632
• NII Article ID: 130003679254
• NII Article ID: 10020020964
• NII Article ID: 10008109520
• NII Book ID: AN00187758
• DOI: 10.11389/jjrs1963.34.434
• COI: 1:STN:280:BymB287hslM%3D
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 8691664
• Web Site: https://search.jamas.or.jp/link/ui/1997007905
• Text Lang: ja
• Data Source:
  • JaLC
  • PubMed
  • CiNii Articles
• Abstract License Flag: Disallowed