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Two cases of necrotizing crescentic glomerulonephritis with skin lesions
Authors:Hidekazu Moriya  Iwao Nakabayashi  Junichirou Nishiyama  Aki Ishida  Keiji Tazawa  Takao Kubota  Kunihiko Hino  Nobuyuki Yoshizawa
Affiliation:(1) Second Department of Internal Medicine, National Defense Medical College, 3-2 Namiki, 359 Tokorozawa, Saitama, Japan;(2) Department of Public Health, National Defense Medical College, 3-2 Namiki, 359 Tokorozawa, Saitama, Japan
Abstract:Two cases of rapidly progressive glomerulonephritis (RPGN) with skin vasculitis-associated anti-neutrophil cytoplasmic antibody (ANCA) are examined. Both cases showed purpura on the lower legs on admission and subsequently revealed renal or pulmonary vasculitis. One case responded positively to oral prednisolone alone, but the other case showed high ANCA titer and renal—pulmonary vasculitis. We discuss the diversity of clinical symptoms and the titer of antibody-associated vasculitis.
Keywords:Anti-neutrophil cytoplasmic antibody  skin lesion  vasculitis  relapse  glomerulonephritis
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