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一名75岁男性患寡免疫坏死性抗中性粒细胞胞浆抗体(ANCA)相关性血管炎并发急性肾衰竭和全身乏力:病例报告

Acute Renal Failure and Generalized Weakness in a 75-Year-Old Male With Pauci-Immune Necrotizing Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis: A Case Report.

作者信息

Martini Wayne A, Querin Lauren B, Hodgson Nicole R, Rappaport Douglas

机构信息

Emergency Medicine, Mayo Clinic, Phoenix, USA.

出版信息

Cureus. 2024 Sep 1;16(9):e68398. doi: 10.7759/cureus.68398. eCollection 2024 Sep.

Abstract

We describe a 75-year-old male who presented to the emergency department with generalized weakness and was ultimately diagnosed with acute renal failure secondary to pauci-immune necrotizing antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis. The patient's clinical course was complicated by a perforated gastric ulcer and severe malnutrition, necessitating involvement from multiple specialists. The case highlights the challenges of this rare vasculitis and the complications that can arise from the disease and its treatment. .

摘要

我们描述了一名75岁男性,他因全身无力就诊于急诊科,最终被诊断为继发于寡免疫坏死性抗中性粒细胞胞浆抗体(ANCA)相关血管炎的急性肾衰竭。患者的临床病程因胃溃疡穿孔和严重营养不良而复杂化,需要多个专科医生参与。该病例突出了这种罕见血管炎的挑战以及该疾病及其治疗可能引发的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6109/11444712/2d5a77213c32/cureus-0016-00000068398-i01.jpg

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