Korean J Nephrol.
2004 Jul;23(4):655-660.
A Case of Systemic Vasculitis with Intraperitoneal Aneurysmal Rupture
- Affiliations
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- 1Department of Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea. whuh@samsung.co.kr
- 2Department of Pathology, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 3Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 4Department of Medicine, College of Medicine, Cheju National University, Cheju, Korea.
Abstract
- Though systemic vasculitidis are a group of diseases with extremely low incidence and prevalence, vessels with diverse size from aorta to capillaries are involved. It has been argued how to classify and define systemic vasculitidis, especially how to discriminate poly arteritis nodosa (PAN) and microscopic polyangiitis (MPA). Since there are lots of overlapping between them, clinical manifestations, antineuclear cytoplasmic antibody (ANCA) and angiographic findings besides pathologic findings should be considered altogether. We report a case of systemic vasculitis in which crescentic necrotizing glomerulonephritis with positive perinuclear-type ANCA occurred with intraperitoneal aneurysmal rupture simultaneously. Our case can be a typical one that shows definite overlapping between PAN and MPA.
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