title: [A case of anaphylactoid purpura associated with nephrosis followed by pulmonary tuberculosis].
abstract: A 54-year old man was admitted to our hospital because of high fever, productive cough and purpura in both legs in June 2005. Urinalysis showed microscopic hematuria and proteinuria. Chest radiograph showed consolidation of right upper field. Because acid-fast bacilli and polymerase chain reaction test for Mycobacterium tuberculosis were positive in bronchial lavage fluid, we made a diagnosis of pulmonary tuberculosis, and prescribed antituberculosis therapy with isoniazid, rifampicin, ethambutol and pyrazinamide. In addition, anaphylactoid purpura was diagnosed by skin biopsy. In July 2005, renal function was deteriorated and nephrosis appeared. We treated with corticosteroid in addition to antituberculosis therapy. His symptoms and renal dysfunction improved. We report a rare case of an anaphylactoid purpura following occurence of pulmonary tuberculosis.
authors.affiliation: Department of Respiratory Medicine, Gunma University School of Medicine.
authors.forename: Zen
authors.initials: Z
authors.lastname: Isobe
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Suga
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Aoki
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Aoki
authors.forename: Kana
authors.initials: K
authors.lastname: Ikeda
authors.forename: Manabu
authors.initials: M
authors.lastname: Ueno
authors.forename: Toshitaka
authors.initials: T
authors.lastname: Maeno
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kurabayashi
mesh_terms: D006801:Humans; D011695:IgA Vasculitis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009401:Nephrosis / Q000150:complications*; D014397:Tuberculosis, Pulmonary / Q000150:complications*