A Suspected Case of Wegener’s Granulomatosis with Ocular Symptom
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- Tasaki Akihisa
- Nissan Tamagawa Hospital
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- Honda Keiji
- Tokyo Medical and Dental University
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- Kamada Tomoko
- Tsuchiura Kyodo General Hospital
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- Hatanaka Akio
- Saitama Cancer Center
Bibliographic Information
- Other Title
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- 視力障害により発症したWegener肉芽腫症疑い例
- 臨床 視力障害により発症したWegener肉芽腫症疑い例
- リンショウ シリョク ショウガイ ニ ヨリ ハッショウ シタ Wegener ニクガシュショウ ウタガイ レイ
- A Suspected Case of Wegener^|^rsquo;s Granulomatosis with Ocular Symptom
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Abstract
Wegener’s granulomatosis is characterized by necrotising granulomas of the respiratory tract, renal failure and necrotisingangitis. We report herein on a case of a 53-year-old man who presented with visual disturbance of the right eye. He had also presented with visual disturbance one year previously, and underwent endoscopic sinus surgery at another hospital. We considered that the visual disturbance was caused by a sinus cyst. Although we performed endoscopic sinus surgery, the patient’s visual loss did not improve. About one month after the surgery, bilateral visual disturbance and nasal septum perforation appeared, the p-ANCA titer was elevated, and pachymeningitis became apparent, but the left paranasal sinus was intact. Finally we diagnosed that the visual loss was due to pachymeningitis based on Wegener’s granulomatosis, and we therefore administered predonisolone and cyclosporin. The eyesight in the patient’s right eye was still poor but his left eyesight recovered.<br>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 106 (11), 985-990, 2013
The Society of Practical Otolaryngology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679249481216
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- NII Article ID
- 130003386091
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL BIB ID
- 024962826
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed