A Case of Recurrent Pulmonary Hemorrhage in p-ANCA-Related Vasculitis Patients on Hemodialyis.
- Author:
Eun Hoe KWON
1
;
Young Eun PARK
;
Sang Heon SONG
;
Dong Won LEE
;
Soo Bong LEE
;
Ihm Soo KWAK
Author Information
1. Department of Internal Medicine, Hae-dong hospital, Korea.
- Publication Type:Case Report
- Keywords:
Hemoptysis;
P-ANCA;
Vasculitis;
Hemodialysis
- MeSH:
Aged;
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis;
Antibodies, Antineutrophil Cytoplasmic;
Cyclophosphamide;
Follow-Up Studies;
Hemoptysis;
Hemorrhage*;
Humans;
Outpatients;
Prednisolone;
Recurrence;
Renal Dialysis;
Renal Insufficiency;
Vasculitis*
- From:Korean Journal of Nephrology
2007;26(4):495-501
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
ANCA-associated vasculitis is one of the immunologic cause of diffuse alveolar hemorrhage (DAH). We experienced a rare case of recurrent DAH in a 67-year-old man with ANCA-associated vasculitis who had been on maintenance hemodialysis. Two years ago, he presented with renal failure and hemoptysis. Hemoptysis caused by DAH was resolved immediately and hemodialysis was applied because of persistent uremic symptom. On maintenance hemodialysis, three recurrences have happened so far. At present, oral prednisolone and oral cyclophosphamide are being maintained during outpatient follow-up. Our report suggests that the nephrologist must be concerned about the possibility of recurrent aleveolar hemorrhage in ANCA associated renal disease patients and consider immunosuppressive treatment, even though the patient has been on maintenance hemodialysis.
