Hypertrophic pachymeningitis with MPO-ANCA-positive vasculitis

被引:12
|
作者
Horino, Taro [1 ]
Takao, Toshihiro [2 ]
Taniguchi, Yoshinori [1 ]
Terada, Yoshio [1 ]
机构
[1] Kochi Med Sch, Dept Endocrinol Metab & Nephrol, Nankoku, Kochi 7838505, Japan
[2] Kochi Med Sch, Dept Community Nursing, Div Community Med, Nankoku, Kochi 7838505, Japan
关键词
Hypertrophic pachymeningitis (HP); Myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA); Wegener's granulomatosis (WG); WEGENERS-GRANULOMATOSIS;
D O I
10.1007/s10067-009-1269-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 75-year-old man presented with headache, right facial palsy, and left hemiparesis. Because of elevated myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) titers and findings from magnetic resonance imaging (MRI) which were compatible with hypertrophic pachymeningitis (HP), he was diagnosed with MPO-ANCA-positive HP. He was treated with the combination therapy of steroid and cyclophosphamide (CY), leading to good prognosis. We present a case of HP associated with MPO-ANCA-positive vasculitis and emphasize the importance of MPO-ANCA tests as a predictable factor for relapse of the disease in order to start earlier treatment for the disease.
引用
收藏
页码:111 / 113
页数:3
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