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Vasculitis de grandes vasos en paciente con vasculitis ANCA (+): Caso clínico / Large vessel involvement in ANCA-associated vasculitis: Report of one case
Vega, Jorge; Guarda, Francisco J.
  • Vega, Jorge; Hospital Naval A. Nef. Sección Nefrología. Servicio de Medicina. Viña del Mar. CL
  • Guarda, Francisco J; Hospital Naval A. Nef. Sección Nefrología. Servicio de Medicina. Viña del Mar. CL
Rev. méd. Chile ; 143(9): 1206-1209, set. 2015. ilus
Article in Spanish | LILACS | ID: lil-762690
ABSTRACT
Pauci-immune glomerulonephritis in systemic vasculitides usually have anti-neuthrophil cytoplasmic antibodies (ANCA). However, vasculitides of large vessels such as Takayasu’s and giant cell (temporal) arteritis do not. Exceptionally ANCA(+) small vessel vasculitides are associated with large vessel vasculitis. It may be a coincidence or both vasculitides have a common pathogenesis. We report a 30 years old woman on hemodialysis due to a chronic glomerulonephritis ANCA(+) diagnosed nine years ago. Eight years later, she presented with an aortitis with severe stenosis of distal aorta and vasculitis of left subclavian artery. She was treated with adrenal steroids and cyclophosphamide. During the ensuing five years she has been stable and without signs of reactivation of the disease.
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Full text: Available Index: LILACS (Americas) Main subject: Aortic Valve Stenosis / Aortitis / Steroids / Cyclophosphamide / Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis Type of study: Diagnostic study / Risk factors Limits: Adult / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2015 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Naval A. Nef/CL

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Full text: Available Index: LILACS (Americas) Main subject: Aortic Valve Stenosis / Aortitis / Steroids / Cyclophosphamide / Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis Type of study: Diagnostic study / Risk factors Limits: Adult / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2015 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Naval A. Nef/CL