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 inArchives of rheumatology Vol. 33; no. 1; pp. 89 - 92
Main Authors Oiwa, Hiroshi, Ooi, Katsuhiro, Oyama, Tetsu, Sugyama, Eiji
Format Journal Article
LanguageEnglish
Published Turkey Turkish League Against Rheumatism 01.03.2018
Prof Sebnem Ataman, President Turkish League Against Rheumatism
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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.
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
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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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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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