Fatal cardiac small-vessel involvement in ANCA-associated vasculitis: an autopsy case report
作者: Sari IwasakiAkira SuzukiTakashi FujisawaTaiju SatoShinya ShiraiMitsunori KamigakiNoriyuki OtsukaUtano TomaruAkihiro Ishizu
作者单位: 1Department of Pathology, KKR Sapporo Medical Center, Sapporo, Japan
2Department of Cardiology, KKR Sapporo Medical Center, Sapporo, Japan
3Department of Pathology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
4Faculty of Health Sciences, Hokkaido University, Sapporo, Japan
刊名: Cardiovascular Pathology, 2015, Vol.24 (6), pp.408-410
来源数据库: Elsevier Journal
DOI: 10.1016/j.carpath.2015.07.005
关键词: ANCA-associated vasculitisCardiac small-vessel involvementSudden deathAutopsy
原始语种摘要: Abstract(#br)An 80-year-old Japanese man, who had fever and generalized fatigue not improved by antibiotics, was admitted to our hospital. Laboratory data indicative of renal dysfunction and antineutrophil cytoplasmic antibody (ANCA) in the serum led to the consideration of ANCA-associated vasculitis as a differential diagnosis. However, before the diagnostic confirmation, he was found dead on the bed. Autopsy revealed necrotizing crescentic glomerulonephritis in the kidneys. In addition, necrotizing granulomatous vasculitis with infiltration of multinucleated giant cells and neutrophils but not eosinophils was present in multiple organs. The direct cause of death was presumed as cardiac arrest by lethal arrhythmia because vasculitic lesions were distributed widely in the cardiac walls,...
全文获取路径: Elsevier  (合作)
影响因子:2.352 (2012)

  • associated 相关的
  • vasculitis 血管炎
  • vessel 容器
  • cardiac 贲门
  • necrotizing 引起坏死的
  • involvement 财政困难
  • autopsy 尸体检剖
  • small 小的
  • vasculitic 脉管炎的
  • manifestation 特枕示