A Case of Necrotizing Vasculitis & MPO- and PR3-ANCA Associated with Systemic Lupus Erythematosus
-
- Nitta Yukiko
- Department of Dermatology, National Hospital Organization Nagoya Medical Center
Bibliographic Information
- Other Title
-
- MPO-ANCAとPR3-ANCA陽性の壊死性血管炎を伴ったSLEの1例
- MPO ANCA ト PR3 ANCA ヨウセイ ノ エシセイ ケッカンエン オ トモナッタ SLE ノ 1レイ
Search this article
Abstract
A 54-year-old woman was referred to the Department of Internal Medicine for systemic lupus erythematosus (SLE) since 1976. She had been well-controlled with systemic prednisolone (PSL) 10mg daily for twenty-seven years. Two large indurated reddish nodules on her bilateral legs were noticed in 2002. A biopsy taken from one nodule confirmed the diagnosis of necrotizing vasculitis. Laboratory examinations found a high titer of myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA) and proteinase 3 antineutrophil cytoplasmic antibody (PR3-ANCA) accompanied by positive anti-nuclear, ds-DNA antibodies. This case was diagnosed as SLE with MPO-ANCA positive arteritis. PSL 30mg daily was administered, and the nodules rapidly disappeared. A case-control study was conducted in a cohort of 90 patients given a diagnosis of SLE in the National Hospital Organization Nagoya Medical Center Department of Dermatology. MPO- and PR3-ANCA were not detected separately in any of 90 SLE patients. Both MPO- and PR3-ANCA together were detected in one patient (our case). We suggest that MPO- and PR3-ANCA should be examined in patients with SLE-related necrotizing vasculitis.
Journal
-
- The Japanese Journal of Dermatology
-
The Japanese Journal of Dermatology 116 (11), 1593-1597, 2006
Japanese Dermatological Association
- Tweet
Details 詳細情報について
-
- CRID
- 1390282680716582784
-
- NII Article ID
- 130004714774
- 10018388588
-
- NII Book ID
- AN00196602
-
- ISSN
- 13468146
- 0021499X
-
- NDL BIB ID
- 8524238
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- CiNii Articles
-
- Abstract License Flag
- Disallowed