You are here

Article Text

Article menu
Download PDFPDF
Correspondence
A case of cholesterol embolism with ANCA treated with corticosteroid and cyclophosphamide
  1. E MAESHIMA,
  2. Y YAMADA,
  3. M MUNE,
  4. S YUKAWA
  1. Third Department of Internal Medicine
  2. Wakayama Medical College
  3. 811-1, Kimiidera, Wakayama City
  4. Wakayama 641-0012, Japan
  1. Dr Maeshima

https://doi.org/10.1136/ard.60.7.726

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    We report a case of a patient with cholesterol embolism who showed positive for both myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA) and proteinase 3 antineutrophil cytoplasmic antibody (PR3-ANCA) and who was treated with prednisolone (PSL) and cyclophosphamide.

    A 50 year old man underwent cardiac catheterisation for back pain. The examination disclosed 90% stenosis of the right coronary artery and a saccular aneurysm in the thoracic aorta. The patient underwent percutaneous transluminal coronary angioplasty and the aneurysm was wrapped with an artificial blood vessel. Postoperatively, the patient had a fever, pleural effusion, abdominal pain, and increased white blood cell (WBC) count, C reactive protein (CRP), and serum creatinine. Cultures of blood and pleural effusion exudate were negative. PSL 15 mg/day was started. However, acute progression of renal failure required …

    View Full Text