A case of microscopic polyarteritis associated with recurrent pulmonary hemorrhage.

Bae, Ji Youn; Lim, Sang Soon; Lee, Yoon Suk; In, Kwang Ho; Yoo, Se Hwa; Ahn, Tae Hoon

doi:1991.38.4.389

Tuberc Respir Dis > Volume 38(4); 1991 > Article

Case Report

Tuberculosis and Respiratory Diseases 1991;38(4):389-395.
DOI: https://doi.org/10.4046/trd.1991.38.4.389 Published online December 1, 1991.

A case of microscopic polyarteritis associated with recurrent pulmonary hemorrhage.

Ji Youn Bae¹, Sang Soon Lim¹, Yoon Suk Lee¹, Kwang Ho In², Se Hwa Yoo², Tae Hoon Ahn³

¹Department of Intemal Medicine, Chung Goo Sung Sim Hospital, Seoul, Korea
²Department of Intemal Medicine, Korea University Medical College, Seoul, Korea
³Department of Internal Medicine, lncheon Choong Ang Gil Hosþital, In cheon, Korea

Abstract

Pulmonary hemorrhage is a feature of several immune and idiopathic disorders. The specific etiology of this disease is determined by clinical, serological and renal pathology. Microscopic polyarteritis nodosa is a vasculitis of small vessels which is characterized by involvement of the lung, kidney and skin in young individuals. Its clinical manifestations differ from classical polyarteritis nodosa. It should be considered in differentiation of recurrent alveolar hemorrhage and hematuria. We reported a case of microscopic polyarteritis nodosa which was confirmed by renal biopsy and positive serum antineutrophil cytoplasmic antibody, associated with recurrent alveolar hemorrhage and hematuria.