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Chronic and Asymptomatic Diffuse Alveolar Haemorrhage with Microscopic Polyangiitis: A Case Report and Review of the Literature
Joint Authors
Tashiro, Hiroki
Takahashi, Koichiro
Sadamatsu, Hironori
Uchida, Masaru
Kimura, Shinya
Sueoka-Aragane, Naoko
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-05
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Diffuse alveolar haemorrhage (DAH) is one of the major causes of death in microscopic polyangiitis (MPA) patients, because of acute respiratory failure with various respiratory symptoms.
We, herein, present a case of chronic and asymptomatic DAH in a patient with MPA who was diagnosed by fibreoptic bronchoscopy.
The patient showed localized reticular shadows, without any respiratory symptoms, and absence of inflammatory reactions, such as fever and CRP elevation, which is atypical for DAH.
Three months after appearance of the lung abnormalities, DAH with MPA was diagnosed by fibreoptic bronchoscopy.
She was initially treated with only corticosteroids and has thereafter been maintained with corticosteroids and azathioprine without relapse to date.
We reviewed the literature for similar cases and opined that physicians should perform fibreoptic bronchoscopy in MPA patients with chronic lung abnormalities and anaemia to identify DAH, even if the patients show no respiratory symptoms and in the absence of inflammatory reactions.
American Psychological Association (APA)
Tashiro, Hiroki& Takahashi, Koichiro& Sadamatsu, Hironori& Uchida, Masaru& Kimura, Shinya& Sueoka-Aragane, Naoko. 2016. Chronic and Asymptomatic Diffuse Alveolar Haemorrhage with Microscopic Polyangiitis: A Case Report and Review of the Literature. Case Reports in Rheumatology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1102631
Modern Language Association (MLA)
Tashiro, Hiroki…[et al.]. Chronic and Asymptomatic Diffuse Alveolar Haemorrhage with Microscopic Polyangiitis: A Case Report and Review of the Literature. Case Reports in Rheumatology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1102631
American Medical Association (AMA)
Tashiro, Hiroki& Takahashi, Koichiro& Sadamatsu, Hironori& Uchida, Masaru& Kimura, Shinya& Sueoka-Aragane, Naoko. Chronic and Asymptomatic Diffuse Alveolar Haemorrhage with Microscopic Polyangiitis: A Case Report and Review of the Literature. Case Reports in Rheumatology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1102631
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102631