- 著者
- Sakiho Koide Kouhei Kitajima Masanori Yamazaki Takanori Ichikawa Mitsuhisa Komatsu
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- pp.0692-22, (Released:2022-11-16)
- 参考文献数
- 15
- 被引用文献数
- 1
A 71-year-old man with hyperthyroidism complained of headache lasting two months. He had been using propylthiouracil (PTU) for 14 years. Treatment intensification did not improve the symptoms. Blood tests detected a positive myeloperoxidase-anti-neutrophil cytoplasmic antibody (MPO-ANCA). Diffuse dural thickening was identified by magnetic resonance imaging. The patient was diagnosed with hypertrophic pachymeningitis (HP) due to ANCA-associated vasculitis (AAV). He received methylprednisolone pulse therapy followed by prednisolone and methotrexate, which improved his headache. PTU-induced AAV-related HP is a rare and indiscernible disease. Therefore, the possibility of the disease should be proactively considered when a PTU user experiences refractory headaches.
- 著者
- Kiyoshi HASHIZUME Satoru SUZUKI Ai KOMATSU Kunihide HIRAMATSU Jun-ichiro MORI Masanori YAMAZAKI Teiji TAKEDA Tomoko KAKIZAWA Takahide MIYAMOTO Yoichi KOIZUMI Kazuo ICHIKAWA
- 出版者
- (社)日本内分泌学会
- 雑誌
- Endocrine Journal (ISSN:09188959)
- 巻号頁・発行日
- vol.54, no.2, pp.319-327, 2007 (Released:2007-05-17)
- 参考文献数
- 29
- 被引用文献数
- 12 16
This article was retracted. Please see retracted notification.