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KMID : 0359919960150010100
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Korean Journal of Nephrology
1996 Volume.15 No. 1 p.100 ~ p.105
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A Case of Systemic Necrotizing Vasculitis with Severe Gastrointestinal Tract Involvement, Polyserositis(Pleural Effusion and Ascites), and Hydronephrosis
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장세호
김윤구/고은미/이규백/이풍렬/오하영/선연림/주인욱/김보현
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Abstract
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The systemic necrotizing vasculitides represents a sectrum of rare disorders with share features of vascular iflammation, vascular necrosis, and varying degrees of target-organ ischemia. Their clinical features are protean and intensity of the
inflammatory response and the distribution and degree of target-organ damage. They might be the only manifestation of a disease or can be a secondary component of another primary disease such as hematologic malignancy, cardiac myxoma, infection
and
connective tissue disease. Ascites occurs in various diseases, but it is not characteristically found in the primary vasculitis syndromes. Although bleuitis and pericarditis may occur in polyarteritis, peritoneal involvement has been reported
only
in
cases with intestinal complication and secondary acute abdomen. So there was some difficulty in initial diagnosis of primary vasculitis. We report a case of systejmic necrotizing vasculitis with sever gastrointestinal tract involvement,
polyserositis
(pleural effusion and ascites) with out intestinal complication and secondary acute abdomen, hydronephrosis, but successfully treated with rednisolone and cyclophosphamide.
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KEYWORD
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