長崎大学大学院 医歯薬学総合研究科 保健学専攻 看護実践科学分野
長崎大学医学部保健学科看護学専攻（基礎・成人・精神・老年看護学領域）
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長崎大学大学院 医歯薬学総合研究科 保健学専攻 看護実践科学分野
長崎大学大学院 医歯薬学総合研究科 保健学専攻 看護実践科学分野
長崎大学医学部保健学科看護学専攻（基礎・成人・精神・老年看護学領域）
長崎大学医学部保健学科看護学専攻（基礎・成人・精神・老年看護学領域）

Publication

  • Publication
  • A case of Sjögren syndrome with pulmonary amyloidosis complicating microscopic polyangiitis
Modern rheumatology 21, 6, 646 - 650 (2011)
A case of Sjögren syndrome with pulmonary amyloidosis complicating microscopic polyangiitis

著者

Kawashiri SY , Tamai M , Yamasaki S , Nakamura H , Kakugawa T , Sakamoto N , Ishimatsu Y , Kawakami A

カテゴリ

学術論文

Abstract

We present the case of a 71-year-old Japanese woman with Sjögren syndrome complicated with pulmonary amyloidosis who developed microscopic polyangiitis. She was admitted because of fever, weight loss, and paresthesia of the plantae and fingers. Chest computed tomography revealed bilateral multiple nodules with calcification in the lung. Transbronchial lung biopsy specimens showed AL-type (primary) amyloid deposits. The patient also tested positive for myeloperoxidase-antineutrophil cytoplasmic antibodies (MPO-ANCA), with changes in the MPO-ANCA titer that paralleled changes in the symptoms. Nerve conduction velocity findings showed mononeuropathy multiplex. Livedo vasculitis was observed on bilateral lower legs, and skin biopsy showed leukoclastic vasculitis. We diagnosed the patient as having microscopic polyangiitis.