A Case of Microscopic Polyarteritis Associated with Recurrent Pulmonary Hemorrhage

반복성 폐출혈을 일으킨 현미경적 다발성 동맥염 1예

  • Bae, Ji-Youn (Department of Internal Medicine, Chung Goo Sung Sim Hospital) ;
  • Lim, Sang-Soon (Department of Internal Medicine, Chung Goo Sung Sim Hospital) ;
  • Lee, Yoon-Suk (Department of Internal Medicine, Chung Goo Sung Sim Hospital) ;
  • In, Kwang-Ho (Department of Internal Medicine, Korea University Medical College) ;
  • Yoo, Se-Hwa (Department of Internal Medicine, Korea University Medical College) ;
  • Ahn, Tae-Hoon (Department of Internal Medicine, Incheon Choong Ang Gil Hospital)
  • Published : 1991.12.31

Abstract

Pulmonary hemorrhage is a feature of several immune and idiopathic disorders. The specific etiology of this disease is determined by clinical, serological and renal pathology. Microscopic polyarteritis nodosa is a vasculitis of small vessels which is characterized by involvement of the lung, kidney and skin in young individuals. Its clinical manifestations differ from classical polyarteritis nodosa. It should be considered in differentiation of recurrent alveolar hemorrhage and hematuria. We reported a case of microscopic polyarteritis nodosa which was confirmed by renal biopsy and positive serum antineutrophil cytoplasmic antibody, associated with recurrent alveolar hemorrhage and hematuria.

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