A Case of Anaphylactoid Purpura Associated with Tuberculous Pleuritis
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- KUBOI Satoshi
- Department of Internal Medicine, Shin-Kokura Hospital
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- NOMURA Hideyuki
- Department of Internal Medicine, Shin-Kokura Hospital
Bibliographic Information
- Other Title
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- 結核性胸膜炎の経過中にアナフィラクトイド紫斑病を併発した1例
- 症例 結核性胸膜炎の経過中にアナフィラクトイド紫斑病を併発した1例
- ショウレイ ケッカクセイ キョウマクエン ノ ケイカ チュウ ニ アナフィラクトイド シハンビョウ オ ヘイハツ シタ 1レイ
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Abstract
A 46-year-old man was admitted to Shin-Kokura Hospital because of fever and right chest pain. Laboratory studies showed mild leukocytosis, an increased erythrocyte sediment rate, positive C-reactive protein, and abnormal liver function. The tuberculin skin test was positive. A chest X-ray showed massive right pleural effusion, and exudative pleural effusion fluid was obtained by thoracocentesis. The pleural fluid revealed an increased adenosine deaminase concentration and cultures were negative for mycobacteria. A polymerase chain reaction test of the pleural effusion for Mycobacterium tuberculosis was positive. The patient was diagnosed with tuberculous pleuritis, and antitubercular therapy was started. The fever and chest pain was improved, but rashes appeared on the lower extremities. A biopsy of the skin lesion showed anaphylactoid purpura. Steroid ointment improved the skin lesion.<BR>Anaphylactoid purpura associated with tuberculosis is rare. The immunological response to mycobacteria may heve been related to the mechanism of the anaphylactoid purpura in this case.
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 80 (2), 119-123, 2006
The Japanese Association for Infectious Diseases
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Details 詳細情報について
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- CRID
- 1390282680025367296
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- NII Article ID
- 10018193282
- 130004331301
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- NII Book ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL BIB ID
- 7916586
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- PubMed
- 16629497
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed