A Case of Pulmonary Fibrosis with Microscopic Polyangiitis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 257-260, 2011.
Article
在 Ko
| WPRIM
| ID: wpr-169147
Responsible library:
WPRO
ABSTRACT
A 65-year-old woman was admitted due to poor oral intake and a dry cough over the previous 3 months. The physical examination was remarkable for bibasilar crackles, and plain chest radiography showed reticulation in both lower lung fields. A pulmonary function test demonstrated a restrictive pattern with a reduced diffusing capacity of the lung for carbon monoxide. High resolution computed tomography showed reticulation and honey-combing in both peripheral lung zones, which was consistent with usual interstitial pneumonia pattern. Her skin showed livedo reticularis. The erythrocyte sedimentation rate and C-reactive protein level were elevated, and hematuria was noted on urinary analysis. A serologic test for auto-antibodies showed seropositivity for Myeloperoxidase-Anti-neutrophil cytoplasmic antibody (MPO-ANCA). A kidney biopsy was performed and showed focal segmental glomerulosclerosis. She was diagnosed as having pulmonary fibrosis with microscopic polyangiitis (MPA) and treated with high dose steroids. Here we report a case of pulmonary fibrosis coexistent with microscopic polyangiitis.
Key words
全文:
1
索引:
WPRIM
主要主题:
Physical Examination
/
Pulmonary Fibrosis
/
Respiratory Function Tests
/
Skin
/
Steroids
/
Thorax
/
Biopsy
/
Blood Sedimentation
/
C-Reactive Protein
/
Serologic Tests
研究类型:
Diagnostic_studies
限制:
Aged
/
Female
/
Humans
语言:
Ko
期刊:
Tuberculosis and Respiratory Diseases
年:
2011
类型:
Article