Idiopathic Interstitial Pneumonia as a Possible Cause of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Case Report
There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): (1) myeloperoxidase-ANCA may play a pathogenetic role in pulmonary fibrosis, or (2) pulmonary fibrosis may induce production of the antibody. In thi...
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Published in | Archives of rheumatology Vol. 33; no. 1; pp. 89 - 92 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Turkey
Turkish League Against Rheumatism
01.03.2018
Prof Sebnem Ataman, President Turkish League Against Rheumatism |
Subjects | |
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Abstract | There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): (1) myeloperoxidase-ANCA may play a pathogenetic role in pulmonary fibrosis, or (2) pulmonary fibrosis may induce production of the antibody. In this article, we describe a case of an elderly female patient with microscopic polyangiitis that developed after positive conversion of myeloperoxidase-ANCA during the course of idiopathic interstitial pneumonia. Our experience as well as similar case reports may suggest that idiopathic interstitial pneumonia may induce production of ANCAs and even ANCA-associated vasculitis. |
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AbstractList | There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): (1) myeloperoxidase-ANCA may play a pathogenetic role in pulmonary fibrosis, or (2) pulmonary fibrosis may induce production of the antibody. In this article, we describe a case of an elderly female patient with microscopic polyangiitis that developed after positive conversion of myeloperoxidase-ANCA during the course of idiopathic interstitial pneumonia. Our experience as well as similar case reports may suggest that idiopathic interstitial pneumonia may induce production of ANCAs and even ANCA-associated vasculitis. Keywords: Antineutrophil cytoplasmic antibody; idiopathic interstitial pneumonia; microscopic polyangiitis; vasculitis. [...]the diagnosis of interstitial pneumonia associated with rheumatic disorders was not considered likely. Transbronchial biopsy showed no pathogenic findings. [...]patient was considered to have IIP. [...]the MPA cases developing after the seroconversion following IIP diagnosis may tend to present with pulmonary-renal syndrome, and had a worse outcome. There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): (1) myeloperoxidase-ANCA may play a pathogenetic role in pulmonary fibrosis, or (2) pulmonary fibrosis may induce production of the antibody. In this article, we describe a case of an elderly female patient with microscopic polyangiitis that developed after positive conversion of myeloperoxidase-ANCA during the course of idiopathic interstitial pneumonia. Our experience as well as similar case reports may suggest that idiopathic interstitial pneumonia may induce production of ANCAs and even ANCA-associated vasculitis. There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): ( 1 ) myeloperoxidase-ANCA may play a pathogenetic role in pulmonary fibrosis, or ( 2 ) pulmonary fibrosis may induce production of the antibody. In this article, we describe a case of an elderly female patient with microscopic polyangiitis that developed after positive conversion of myeloperoxidase-ANCA during the course of idiopathic interstitial pneumonia. Our experience as well as similar case reports may suggest that idiopathic interstitial pneumonia may induce production of ANCAs and even ANCA-associated vasculitis. |
Audience | Academic |
Author | Oiwa, Hiroshi Sugyama, Eiji Ooi, Katsuhiro Oyama, Tetsu |
AuthorAffiliation | 3 Department of Rheumatology, Oyama Clinic, Hiroshima, Japan 2 Department of Clinical Immunology and Rheumatology, Hiroshima University Hospital, Hiroshima, Japan 1 Department of Rheumatology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan |
AuthorAffiliation_xml | – name: 1 Department of Rheumatology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan – name: 3 Department of Rheumatology, Oyama Clinic, Hiroshima, Japan – name: 2 Department of Clinical Immunology and Rheumatology, Hiroshima University Hospital, Hiroshima, Japan |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29901014$$D View this record in MEDLINE/PubMed |
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Copyright | COPYRIGHT 2018 Turkish League Against Rheumatism Copyright Prof Sebnem Ataman, President Turkish League Against Rheumatism 2018 Copyright © 2018, Turkish League Against Rheumatism 2018 Turkish League Against Rheumatism |
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Keywords | Antineutrophil cytoplasmic antibody; idiopathic interstitial pneumonia; microscopic polyangiitis; vasculitis |
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Snippet | There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): (1)... [...]the diagnosis of interstitial pneumonia associated with rheumatic disorders was not considered likely. Transbronchial biopsy showed no pathogenic... There are conflicting data to date on the causal relationship between idiopathic interstitial pneumonia and antineutrophil cytoplasmic antibody (ANCA): ( 1 )... |
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SubjectTerms | Antibodies Antigens Authorship Bacterial pneumonia Blood Development and progression Family medical history Immunoglobulins Laboratories Lung diseases Neutrophils Patients Pneumonia Proteins Pulmonary fibrosis Tomography Urine Vasculitis Viral antibodies |
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Title | Idiopathic Interstitial Pneumonia as a Possible Cause of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Case Report |
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