title: Antineutrophil Cytoplasmic Antibody-associated Glomerulonephritis Complicated by Pneumatosis Intestinalis.
abstract: Pneumatosis intestinalis is a characteristic imaging phenomenon indicating the presence of gas in the bowel wall. The link between pneumatosis intestinalis and various kinds of autoimmune diseases has been reported anecdotally, while information regarding the cases with antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis complicated by concurrent pneumatosis intestinalis is lacking. In this report, we describe our serendipitous experience with one such case of pneumatosis intestinalis in a patient with ANCA-associated glomerulonephritis. We also discuss several therapeutic concerns that arose in the current case, which had an impact on the pathogenesis of the disease.
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Saki
authors: S
authors: Nakagawa
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Tetsu
authors: T
authors: Akimoto
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Shin-Ichi
authors: S
authors: Takeda
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Mari
authors: M
authors: Okada
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Atsushi
authors: A
authors: Miki
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Hisashi
authors: H
authors: Yamamoto
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Shigeaki
authors: S
authors: Muto
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Eiji
authors: E
authors: Kusano
authors: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
authors: Daisuke
authors: D
authors: Nagata
keywords: ANCA; pneumatosis intestinalis; rapidly progressive glomerulonephritis; steroid; α-glucosidase inhibitor