Wegener's granulomatosis complicated by intestinal ulcer due to cytomegalovirus infection and by thrombotic thrombocytopenic purpura

Internal Medicine

Volumn 46, Issue 17, 2007, Pages 1435-1440

  Yamazaki, Mayuko ^a   Takei, Takashi ^a   Otsubo, Shigeru ^a   Iwasa, Yuko ^a   Yabuki, Yasuko ^a   Suzuki, Keiko ^a   Koike, Minako ^a   Uchida, Keiko ^a   Tsuchiya, Ken ^a   Yumura, Wako ^a   Horita, Shigeru ^a   Honda, Kazuho ^a   Akiba, Takashi ^a   Nitta, Kosaku ^a  

^a TOKYO WOMEN'S MEDICAL UNIVERSITY   (Japan)

Author keywords

Cytomegalovrius infection; Intestinal ulcer; Plasma exchange; Progressive glomerulonephritis; Thrombotic thrombocytopenic purpura; Wegener's granulomatosis

Indexed keywords

BILIRUBIN; C REACTIVE PROTEIN; CEFMETAZOLE; CEFTAZIDIME; CREATININE; FRESH FROZEN PLASMA; GANCICLOVIR; HAPTOGLOBIN; HEMOGLOBIN; LACTATE DEHYDROGENASE; METHYLPREDNISOLONE; MICAFUNGIN; MYELOBLASTIN; NEUTROPHIL CYTOPLASMIC ANTIBODY; PREDNISOLONE; STEROID; VIRUS ANTIGEN;

ABDOMINAL ABSCESS; ABDOMINAL WALL HERNIA; ADULT; ANOREXIA; ANTIBODY TITER; ARTICLE; ARTIFICIAL EMBOLISM; ASCITES; CASE REPORT; CREATININE BLOOD LEVEL; CYTOMEGALOVIRUS INFECTION; DRUG DOSE REDUCTION; DRUG WITHDRAWAL; ERYTHROCYTE; ERYTHROCYTE TRANSFUSION; FATIGUE; FEMALE; FEVER; GLOMERULONEPHRITIS; HEMATOCHEZIA; HEMATURIA; HEMODIALYSIS; HEMOLYTIC ANEMIA; HEMOPERITONEUM; HISTOPATHOLOGY; HOSPITAL ADMISSION; HUMAN; HUMAN TISSUE; INTESTINAL BLEEDING; INTESTINE ULCER; KIDNEY BIOPSY; KIDNEY INJURY; LEUKOCYTE COUNT; LUNG NODULE; NEUROLOGIC DISEASE; PLASMAPHERESIS; PROTEINURIA; STOMACH PAIN; SYMPTOM; THORAX RADIOGRAPHY; THROMBOCYTOPENIA; THROMBOTIC THROMBOCYTOPENIC PURPURA; URINARY TRACT INFECTION; URINE SEDIMENT; WEGENER GRANULOMATOSIS; ACUTE KIDNEY FAILURE; CYTOMEGALIC INCLUSION BODY DISEASE; ENTEROPATHY; GASTROINTESTINAL HEMORRHAGE; MIDDLE AGED; ULCER; VIROLOGY;

CYTOMEGALOVIRUS INFECTIONS; FEMALE; GASTROINTESTINAL HEMORRHAGE; HUMANS; INTESTINAL DISEASES; KIDNEY FAILURE, ACUTE; MIDDLE AGED; PURPURA, THROMBOTIC THROMBOCYTOPENIC; ULCER; WEGENER GRANULOMATOSIS;

EID: 34548708564     PISSN: 09182918     EISSN: 13497235     Source Type: Journal    
DOI: 10.2169/internalmedicine.46.0050     Document Type: Article

References (17)

1. Leavitt RY, Fauci AS, Bloch DA, et al. The American college of rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis Rheum 33: 1101-1107, 1990.
2. Fauci AS, Haynes BF, Katz P, Wolff SMI. Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. Ann Intem Med 98: 76-85, 1983.
3. Hoffman GS, Kerr GS, Leavitt RY, et al. Wegenaer's granulomatosis: an analysis of 158 patients. Ann Intern Med 116: 488-498, 1992.
4. Kallenberg CGM, Mulder AHL. Antineutrophilic cytoplasmic antibodies: A still-growing class of autoantibodies in inflammatory disorders. Am J Med 93: 675-682, 1992.
5. Leavitt RY, Fauci AS. Less common manifestations and presentations of Wegener's granulomatosis. Curr Opin Rheumatol 4: 16-22, 1992.
6. Storesund B, Gran JT, Koldingsnes W. Severe intestinal involvement in Wegener's granulomatosis: Report of two cases and review of the literature. Br J Rheumatol 37: 387-390, 1998.
7. Sackier JM, Kelly SB, Clarke D, Rees AJ, Wood CB. Small bowel haemorrhage due to cytomegalovirus vasculitis. Gut 32: 1419-1420, 1991.
8. Woywodt A, Choi M, Schneider W, Kettritz R, Gobel U. Cytomegalovirus colitis during mycophenolate mofetil therapy for Wegener's granulomatosis. Am J Nephrol 20: 468-472, 2000.
9. Serif R, Jurgensen JS, Teichgraber U, Kampf D, Schindler R. Ruptured arterial aneurysm of the kidney in a patient with Wegener's granulomatosis. Nephrol Dial Transplant 18: 2671-2673, 2003.
10. Aoki N, Soma K, Owada T, Ishii H. Wegener's granulomatosis complicated by arterial aneurysm. Intern Med 34: 790-793, 1995.
11. Shitrit D, Shitrit AB, Starobin D, et al. Large vessel aneurysms in Wegener's granulomatosis. J Vasc Surg 36: 856-858, 2002.
12. George J, Levy Y, Kallenberg CG, Shoenfeld Y. Infections and Wegener's granulomatosis - a cause and effect relationship? QJM 90: 367-373, 1997.
13. Bradley JD, Brandt KD, Katz BP. Infectious complications of cyclophosphamide treatment for vasculitis. Arthritis Rheum 32: 45-53, 1998.
14. Fox DA, Faix JD, Coblyn J, Fraser P, Smith B, Weinblatt ME. Thrombotic thrombocytopemc purpura and systemic lupus erythematosus. Ann Rheum Dis 45: 319-322, 1986.
15. Miller A, Ryan PFJ, Dowling JP. Vasculitis and thrombotic thrombocytopenic purpura in a patient with limited scleroderma. J Rheumatol 4: 598-600, 1997.
16. Lim HE, Jo SK, Kim SW, et al. A case of Wegener's granulomatosis complicated by diffuse pulmonary hemorrhage and thrombotic thrombocytopenic purpura. Korean J Intern Med 13: 68-71, 1998.
17. Rock GA, Shumak KH, Buskard NA, et al. Comparison of plasma exchange with plasma infusion in the treatment of thrombotic thrombocytopenic purpura. N EngI J Med 325: 393-397, 1991.