지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 1,224 - 1,227 (4page)
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A 27-year-old man presented at the emergency room with hemoptysis. His blood pressure was 180/100 mm Hg, and he had no history of hypertension. Chest radiographs showed bilateral infiltration, suggestive of alveolar hemorrhage. His laboratory data were consistent with acute kidney injury. His serum creatinine level increased abruptly; therefore, renal biopsy was performed. Steroid pulse therapy was administered because of a strong suspicion of immune-mediated pulmonary renal syndrome. Renal biopsy showed proliferative endarteritis, fibrinoid necrosis, and intraluminal thrombi in the vessels without crescent formation or necrotizing lesions. Steroid pulse therapy rapidly tapered and stopped. His serum creatinine level gradually decreased with strict blood pressure control. Ten months after discharge, his blood pressure was approximately 120/80 mm Hg with a serum creatinine level of 1.98 mg/dL. Pulmonary renal syndrome is generally caused by an immune-mediated mechanism. However, malignant hypertension accompanying renal insufficiency and heart dysfunction causing end-organ damage can create a pulmonary hemorrhage, similar to pulmonary renal syndrome caused by an immune-mediated mechanism. The present case shows that hypertension, a common disease, can possibly cause pulmonary renal syndrome, a rare condition.
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참고문헌 (9)
참고문헌 신청
Agarwal M / 1999 / Hyponatremic-hypertensive syndrome with renal ischemia: an underrecognized disorder / Hypertension 33 : 1020 ~ 1024
Aithal S / 2009 / An unusual non-immunological cause of renal pulmonary syndrome / Clin Nephrol 72 : 322 ~ 325
Haas AR / 2006 / Current diagnosis and management of hypertensive emergency / Semin Dial 19 : 502 ~ 512
Hida K / 2000 / Malignant hypertension with a rare complication of pulmonary alveolar hemorrhage / Am J Nephrol 20 : 64 ~ 67
Hirayama K / 2008 / Anti-glomerular basement membrane antibody disease in Japan: part of the nationwide rapidly progressive glomerulonephritis survey in Japan / Clin Exp Neph
Aithal S / 2009 / An unusual non-immunological cause of renal pulmonary syndrome / Clin Nephrol 72 : 322 ~ 325
Haas AR / 2006 / Current diagnosis and management of hypertensive emergency / Semin Dial 19 : 502 ~ 512
Hida K / 2000 / Malignant hypertension with a rare complication of pulmonary alveolar hemorrhage / Am J Nephrol 20 : 64 ~ 67
Hirayama K / 2008 / Anti-glomerular basement membrane antibody disease in Japan: part of the nationwide rapidly progressive glomerulonephritis survey in Japan / Clin Exp Neph
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