A Case of P-ANCA Positive Wegener's Granulomatosis with Progressive Hearing Loss
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- Sakaguchi Hirofumi
- Kyoto Prefectural University of Medicine
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- Nin Fumiaki
- Kyoto Prefectural University of Medicine
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- Taki Masakatsu
- Kyoto Prefectural University of Medicine
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- Suzuki Toshihiro
- Kyoto Prefectural University of Medicine
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- Hisa Yasuo
- Kyoto Prefectural University of Medicine
Bibliographic Information
- Other Title
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- 進行性難聴を呈したP‐ANCA陽性Wegener肉芽腫症
- 臨床 進行性難聴を呈したP-ANCA陽性Wegener肉芽腫症
- リンショウ シンコウセイ ナンチョウ オ テイシタ P ANCA ヨウセイ Wegener ニクゲシュショウ
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Abstract
We report a case of P-ANCA positive Wegener’s granulomatosis (WG) with progressive hearing loss. A 63-year-old woman consulted a hospital complaining of right hearing loss. While she received therapy under diagnosis of sudden deafness, she developed a right facial nerve palsy and branch retinal artery occlusion. She was diagnosed as having WG based on specific symptoms in the upper respiratory tract (otitis and sinusitis), pathological findings in the nasal mucosa and blood test data including positive findings for P-ANCA. After she achieved remission induction with corticosteroid and immunosuppressant administration, hearing improved markedly and P-ANCA turned negative. Six years after remission, she demonstrated combined hearing loss in her left ear. Five years later, hearing loss in the left ear progressed acutely. Hearing loss was partially improved by medication at each episode, but has generally progressed during the past eleven years. The long-term clinical course showed that the titer of P-ANCA increased several months prior to the exacerbation of the hearing loss and coincidentally became negative with hearing improvement. This case provides a clinical example showing that P-ANCA can be used as an early marker for disease progression in P-ANCA-positive WG.<br>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 102 (7), 517-522, 2009
The Society of Practical Otolaryngology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679241347072
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- NII Article ID
- 10025096537
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
- http://id.crossref.org/issn/00326313
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- NDL BIB ID
- 10363608
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed