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2018 ; 57
(6
): 829-834
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IgA Vasculitis with Simultaneous Cardiopulmonary Involvement
#MMPMID29225270
Bando K
; Maeba H
; Shiojima I
Intern Med
2018[Mar]; 57
(6
): 829-834
PMID29225270
show ga
A 60-year-old man with a history of hypertension, type 2 diabetes, and reflux
esophagitis was admitted to our hospital with hemoptysis, dyspnea, and leg edema.
We diagnosed him with adult IgA vasculitis based on the presence of purpura,
elevated serum IgA fibronectin complexes, pathophysiological findings, a skin
biopsy showing leukocytoclastic vasculitis, and immunofluorescence studies
demonstrating granular IgA and C3 deposits in the blood vessel wall. He showed
concurrent cardiopulmonary involvement without involvement of the
gastrointestinal system and kidneys, which are commonly affected in IgA
vasculitis patients. Following treatment with prednisolone, the patient recovered
with improvement in cardiopulmonary manifestations.