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
来源：
CLINICAL RHEUMATOLOGY | 2010年 / 29卷 / 01期
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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