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A Case of Systemic Lupus ErythematosusAntineutrophil Cytoplasmic Antibody-Associated Vasculitis Overlap Syndrome with Dissociated Pathological and Immunological Findings
Joint Authors
Takahashi, Yasuhito
Kawamura, Tetsuya
Yokoo, Takashi
Kato, Kazuhiko
Terashima, Risa
Tsuchiya, Yukiko
Kasai, Kenji
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Systemic lupus erythematosus/antineutrophil cytoplasmic antibody-associated vasculitis overlap syndrome (SLE/AAV OS) describes a pathological condition that presents with overlapping features of two diseases.
There have been few reports of SLE/AAV OS and none from Japan.
We present the case of a 59-year-old woman admitted with chief complaints of fever and decreased renal function.
SLE was suspected due to the identification of four items from the diagnostic criteria of the American College of Rheumatology, including positivity for anti-ds-DNA and antinuclear antibodies.
However, pathological findings from the kidney biopsy suggested pauci-immune crescentic glomerulonephritis.
She was also diagnosed with AAV according to the Chapel Hill Consensus Conference (CHCC) 2012 definitions and the classification algorithm of AAV.
SLE/AAV OS was suspected, we started immunosuppressant therapy, and subsequently her renal function improved.
In previous reports, initial immunological and pathological findings generally concur.
In cases where clinical and pathological features appear to conflict, as in the present case, a treatment strategy decision should be based on pathological and immunological findings to improve the prognosis of OS.
American Psychological Association (APA)
Kato, Kazuhiko& Kawamura, Tetsuya& Terashima, Risa& Tsuchiya, Yukiko& Takahashi, Yasuhito& Kasai, Kenji…[et al.]. 2020. A Case of Systemic Lupus ErythematosusAntineutrophil Cytoplasmic Antibody-Associated Vasculitis Overlap Syndrome with Dissociated Pathological and Immunological Findings. Case Reports in Nephrology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1148755
Modern Language Association (MLA)
Kato, Kazuhiko…[et al.]. A Case of Systemic Lupus ErythematosusAntineutrophil Cytoplasmic Antibody-Associated Vasculitis Overlap Syndrome with Dissociated Pathological and Immunological Findings. Case Reports in Nephrology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1148755
American Medical Association (AMA)
Kato, Kazuhiko& Kawamura, Tetsuya& Terashima, Risa& Tsuchiya, Yukiko& Takahashi, Yasuhito& Kasai, Kenji…[et al.]. A Case of Systemic Lupus ErythematosusAntineutrophil Cytoplasmic Antibody-Associated Vasculitis Overlap Syndrome with Dissociated Pathological and Immunological Findings. Case Reports in Nephrology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1148755
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148755