A Case of Systemic Vasculitis Presented as Fever of Unknown Origin / 감염과화학요법
Infection and Chemotherapy
;
: 377-380, 2004.
Article
Dans Coréen
| WPRIM
| ID: wpr-722267
ABSTRACT
Fever of unknown origin (FUO) means fever that does not resolve spontaneously in the period expected for self-limited infection and whose cause cannot be ascertained despite considerable diagnostic efforts. We experienced a case of FUO associated with systemic vasculitis, which was diagnosed with clinical manifestation, radiographic findings, the presence of anti-neutrophil cytoplasmic antibody (ANCA), and renal biopsy. A 54-year-old female was admitted to our hospital with remittent fever of 3 months. A paranasal sinus (PNS) view revealed maxillary and ethmoidal sinusitis, and urine analysis showed microscopic hematuria. We performed a renal biopsy on the basis of positive ANCA and microscopic hematuria. The renal biopsy showed pauci-immune crescentic glomerulonephritis without granuloma, interstitial inflammation, and small vessel vasculitis. Under the diagnosis of ANCA-associated systemic vasculitis, she was treated with steroid and cyclophosphamide. She showed marked clinical improvement.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Vascularite
/
Biopsie
/
Sinusite ethmoïdale
/
Anticorps anti-cytoplasme des polynucléaires neutrophiles
/
Cyclophosphamide
/
Diagnostic
/
Vascularite systémique
/
Fièvre
/
Fièvre d'origine inconnue
/
Glomérulonéphrite
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Infection and Chemotherapy
Année:
2004
Type:
Article
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