A patient undergoing peritoneal dialysis due to SLE who developed various vascular lesions
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- Kataoka Kazuyoshi
- Department of Nephrology, Toshima Chuou Hospital
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- Kanbe Shigeki
- Department of Nephrology, Toshima Chuou Hospital
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- Aonuma Rina
- Department of Nephrology, Toshima Chuou Hospital
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- Ishige Akiko
- Department of Nephrology, Toshima Chuou Hospital
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- Tanase Miyabi
- Department of Nephrology, Toshima Chuou Hospital
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- Tanase Takehito
- Department of Nephrology, Toshima Chuou Hospital
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- Iwasaki Tomomi
- Department of Vascular Surgery, Toshima Chuou Hospital
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- Tamura Hiroyuki
- Department of Nephrology, Toshima Chuou Hospital
Bibliographic Information
- Other Title
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- 多彩な血管病変をきたしたSLE(全身性エリテマトーデス)による腹膜透析の1例
- 症例報告 多彩な血管病変をきたしたSLE(全身性エリテマトーデス)による腹膜透析の1例
- ショウレイ ホウコク タサイ ナ ケッカン ビョウヘン オ キタシタ SLE ゼンシンセイ エリテマトーデス ニ ヨル フクマク トウセキ ノ 1レイ
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Abstract
A 60-year-old woman developed chronic renal failure as a result of lupus nephritis secondary to systemic lupus erythematosus (SLE) and peritoneal dialysis was initiated in May 2001. In December 2008, the patient developed acute aortic dissection and underwent replacement of the ascending aorta followed by anticoagulant therapy with warfarin. In August 2010, hemorrhage in the left iliopsoas muscle was observed following admission for CAPD peritonitis. The bleeding was controlled with conservative therapy involving transfusion and rest. These various vascular lesions were thought to have been caused by a number of factors, including autoimmune abnormalities due to SLE, vasculitis, the effects of steroid treatment on arteriosclerosis and abnormalities in phosphorus and calcium metabolism caused by peritoneal dialysis. The long-term prognosis of SLE has improved greatly with advances in its treatment. However, the incidence of arteriosclerosis and other vascular lesions in patients with SLE is expected to increase in the future, and methods of preventing these complications must be investigated in a large number of patients.
Journal
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- Nihon Toseki Igakkai Zasshi
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Nihon Toseki Igakkai Zasshi 44 (9), 957-962, 2011
The Japanese Society for Dialysis Therapy
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Keywords
Details 詳細情報について
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- CRID
- 1390282679657568896
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- NII Article ID
- 10029747433
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- NII Book ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- NDL BIB ID
- 11260378
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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