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ANCA 음성인 전신성 베게너육아종증 1예

Other Titles
 A Case of ANCA-Negative Generalized Wegener's Granulomatosis 
Authors
 김승규  ;  권용진  ;  박혜성  ;  이광원  ;  하지윤  ;  고희성  ;  김기현  ;  변민광 
Citation
 Yeungnam University Journal of Medicine (영남의대학술지), Vol.30(1) : 17-20, 2013 
Journal Title
 Yeungnam University Journal of Medicine (영남의대학술지) 
ISSN
 1225-7737 
Issue Date
2013
Keywords
Wegener’s granulomatosis ; ANCA
Abstract
Wegener's granulomatosis is a very rare systemic vasculitis characterized by necrotizing granulomatosis. The detection of antineutrophil cytoplasm antibody (ANCA) is a valuable finding in diagnosing Wegener's granulomatosis because ANCA is positive in approximately 90 percent of patients with active, generalized Wegener's granulomatosis. But ANCA is not necessarily positive to make a diagnosis. A 59-year-old man was transferred to our hospital. He was diagnosed with lung abscess and treated with antibiotics at previous hospital. Initially, the ANCA was negative in immunofluorescence assay but we suspected Wegener's granulomatosis because of systemic inflammatory symptoms. Clinical symptoms deteriorated rapidly so we did bronchoscopic biopsy early. Wegener's granulomatosis was diagnosed according to pathologic finding that reported necrotizing granulomatous inflammation associated with vasculitis. Thus we treated with steroid then clinical symptoms and laboratory findings were improved.
Files in This Item:
T201303321.pdf Download
DOI
10.12701/yujm.2013.30.1.17
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Yong Jin(권용진)
Park, Heae Surng(박혜성)
Byun, Min Kwang(변민광) ORCID logo https://orcid.org/0000-0003-1525-1745
Rhee, Kwang Won(이광원)
Ha, Ji Yoon(하지윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87986
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