Abstract
The initial presentation of a patient with Wegener's granulomatosis was indistinguishable from that of Henoch-Schönlein purpura. The patient presented with skin purpura and pulmonary hemorrhage followed by purpura in the colon. The diagnosis of this patient at that time was Henoch-Schönlein purpura. With time, massive lesions in the sinus and those with cavities in the lung became apparent, and a specimen obtained from the sinus massive lesion was disclosed to be granulomatous inflammation. Retrospectively, the proteinase 3 antineutrophil cytoplasmic antibody turned out to be strongly positive in her stored serum from the time of the initial presentation.
| Original language | English |
|---|---|
| Pages (from-to) | 1050-1054 |
| Number of pages | 5 |
| Journal | Internal Medicine |
| Volume | 40 |
| Issue number | 10 |
| Publication status | Published - 2001 |
| Externally published | Yes |
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Keywords
- Antineutrophil cytoplasmic antibody (ANCA)
- Cytoplasmic-pattern antineutrophil cytoplasmic antibody (cANCA)
- Leukocytoclastic vasculitis
- Polyangiitis overlap syndrome
- Proteinase 3 antineutrophil cytoplasmic antibody (PR3-ANCA)
- Pulmonary hemorrhage
ASJC Scopus subject areas
- Internal Medicine
Cite this
A patient with Wegener's granulomatosis with initial clinical presentations of Henoch-Schönlein purpura. / Miyata, M.; Kanno, K.; Nishimaki, T.; Sakuma, F.; Iwatsuki, K.; Kasukawa, R.
In: Internal Medicine, Vol. 40, No. 10, 2001, p. 1050-1054.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A patient with Wegener's granulomatosis with initial clinical presentations of Henoch-Schönlein purpura
AU - Miyata, M.
AU - Kanno, K.
AU - Nishimaki, T.
AU - Sakuma, F.
AU - Iwatsuki, K.
AU - Kasukawa, R.
PY - 2001
Y1 - 2001
N2 - The initial presentation of a patient with Wegener's granulomatosis was indistinguishable from that of Henoch-Schönlein purpura. The patient presented with skin purpura and pulmonary hemorrhage followed by purpura in the colon. The diagnosis of this patient at that time was Henoch-Schönlein purpura. With time, massive lesions in the sinus and those with cavities in the lung became apparent, and a specimen obtained from the sinus massive lesion was disclosed to be granulomatous inflammation. Retrospectively, the proteinase 3 antineutrophil cytoplasmic antibody turned out to be strongly positive in her stored serum from the time of the initial presentation.
AB - The initial presentation of a patient with Wegener's granulomatosis was indistinguishable from that of Henoch-Schönlein purpura. The patient presented with skin purpura and pulmonary hemorrhage followed by purpura in the colon. The diagnosis of this patient at that time was Henoch-Schönlein purpura. With time, massive lesions in the sinus and those with cavities in the lung became apparent, and a specimen obtained from the sinus massive lesion was disclosed to be granulomatous inflammation. Retrospectively, the proteinase 3 antineutrophil cytoplasmic antibody turned out to be strongly positive in her stored serum from the time of the initial presentation.
KW - Antineutrophil cytoplasmic antibody (ANCA)
KW - Cytoplasmic-pattern antineutrophil cytoplasmic antibody (cANCA)
KW - Leukocytoclastic vasculitis
KW - Polyangiitis overlap syndrome
KW - Proteinase 3 antineutrophil cytoplasmic antibody (PR3-ANCA)
KW - Pulmonary hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=0034756193&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034756193&partnerID=8YFLogxK
M3 - Article
C2 - 11688833
AN - SCOPUS:0034756193
VL - 40
SP - 1050
EP - 1054
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 10
ER -