Diffuse Alveolar Hemorrhage in IgA Vasculitis with an Atypical Presentation.
Intern Med
; 57(1): 81-84, 2018 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-29033424
ABSTRACT
IgA vasculitis (IgAV) commonly occurs in young children, who present with a tetrad of purpura, abdominal pain, arthralgia and nephritis. Diffuse alveolar hemorrhage (DAH) is a rare complication of IgAV. We herein report an adult case of IgAV with a presentation of DAH and nephritis (pulmonary renal syndrome, PRS), but without other typical manifestations, such as purpura, abdominal pain and arthralgia. A 33-year-old man presented with hemoptysis and a low-grade fever and was diagnosed to have IgAV based on the results of a renal biopsy. Treatment with corticosteroids, cyclophosphamide, and plasmapheresis was effective. IgAV should therefore be considered in the differential diagnosis of adult PRS.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Vasculite
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Imunoglobulina A
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Glomerulonefrite
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Hemorragia
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Fatores Imunológicos
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Pneumopatias
Limite:
Adult
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Humans
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Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article