[A case of microscopic polyangitis presented with acute pericarditis].
We report a case of microscopic polyangitis presenting with acute pericarditis. A 75-year-old man, who had recurrent acute pericarditis, was referred by a cardiologist because of bilateral infiltrates in the chest radiograph, microhematuria and progressive renal failure. The test for MPO-ANCA was positive. Transbronchial and renal biopsies were compatible with microscopic polyangitis, showing alveolar hemorrhage and crescentic glomerulonephritis. After 3 days, intravenous methylpredonisolone was given, followed by oral prednisolone 40 mg/day, and the patient's radiographic infiltrates cleared and renal dysfunction improved. However, he died from opportunistic infection 109 days after the onset of treatment.
Asonuma
Etsuko
E
Respiratory Division, Saiseikai Shimonoseki General Hospital.
Obata
Hideto
H
Fujii
Kozo
K
Yamamoto
Noriko
N
D000208:Acute Disease; D000368:Aged; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000032:analysis; D005921:Glomerulonephritis / Q000150:complications / Q000473:pathology; D006801:Humans; D008297:Male; D009894:Opportunistic Infections / Q000209:etiology; D010493:Pericarditis / Q000209:etiology*; D009195:Peroxidase / Q000276:immunology; D012008:Recurrence; D014657:Vasculitis / Q000150:complications* / Q000473:pathology
D019268:Antibodies, Antineutrophil Cytoplasmic; D009195:Peroxidase