Muscle Biopsy-proven Drug-induced Microscopic Polyangiitis in a Patient with Tuberculosis
-
- Kuwabara Gaku
- Department of Infection Control Science, Graduate School of Medicine, Osaka City University, Japan Department of Respiratory Medicine, Graduate School of Medicine, Osaka City University, Japan
-
- Yamada Koichi
- Department of Infection Control Science, Graduate School of Medicine, Osaka City University, Japan
-
- Tanaka Kiyomi
- Post Graduate Medical Training Center, Osaka City University Hospital, Japan
-
- Nozuchi Satoshi
- Department of Neurology, Graduate School of Medicine, Osaka City University, Japan
-
- Imoto Waki
- Department of Infection Control Science, Graduate School of Medicine, Osaka City University, Japan
-
- Shibata Wataru
- Department of Infection Control Science, Graduate School of Medicine, Osaka City University, Japan
-
- Tohda Mitsunori
- Department of Respiratory Medicine, Graduate School of Medicine, Osaka City University, Japan
-
- Kyoh Shigenori
- Department of Respiratory Medicine, Wakakusa-Daiichi Hospital, Japan
-
- Itoh Yoshiaki
- Department of Neurology, Graduate School of Medicine, Osaka City University, Japan
-
- Hashimoto Motomu
- Department of Clinical Immunology, Graduate School of Medicine, Osaka City University, Japan
-
- Kakeya Hiroshi
- Department of Infection Control Science, Graduate School of Medicine, Osaka City University, Japan
この論文をさがす
抄録
<p>We herein report a case of muscle biopsy-proven microscopic polyangiitis (MPA) in a patient with tuberculosis. The patient had developed a persistent fever after the initiation of treatment for tuberculosis and was positive for myeloperoxidase-antineutrophil cytoplasmic antibody (ANCA). However, because conventional symptoms were lacking, determination of the biopsy site was difficult. Based on the findings of a biopsy of the biceps femoris, which confirmed small vessel vasculitis, the patient was diagnosed with MPA. The fever was alleviated by glucocorticoids. Tuberculosis and antituberculosis drugs can cause ANCA-associated vasculitis (AAV). A muscle biopsy is useful for the diagnosis of AAV. </p>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 62 (1), 129-133, 2023-01-01
一般社団法人 日本内科学会