[Alveolocapillary microaneurysm in p-ANCA positive microvasculitis (microform of panarteritis nodosa)].
In contrast to the panarteriitis nodosa macroform, the lung is frequently involved in p-ANCA-positive microvasculitis. Alveolar capillaritis, which may improve under immunosuppressive therapy, is a characteristic feature of this microvasculitis. We report on an 82-year-old patient who was admitted to the hospital because of severe hemoptysis due to microvasculitis. He died 3 weeks later despite therapy with steroids and cyclophosphamide. At autopsy alveolocapillary microaneurysms were found that may be residues of alveolar capillaritis.
Bubendorf
L
L
Institut für Pathologie, Universität, Basel.
Dalquen
P
P
Mihatsch
M
M
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000473:pathology*; D019268:Antibodies, Antineutrophil Cytoplasmic; D001323:Autoantibodies / Q000032:analysis*; D002196:Capillaries / Q000473:pathology; D006801:Humans; D007678:Kidney Glomerulus / Q000098:blood supply / Q000473:pathology; D008297:Male; D010488:Polyarteritis Nodosa / Q000473:pathology*; D011650:Pulmonary Alveoli / Q000098:blood supply* / Q000473:pathology; D011658:Pulmonary Fibrosis / Q000473:pathology*
D019268:Antibodies, Antineutrophil Cytoplasmic; D001323:Autoantibodies
Alveolokapilläre Mikroaneurysmen bei p-ANCA-positiver Mikrovaskulitis (Mikroform der Panarteriitis nodosa).