著者
Yuki Nanke Tsuyoshi Kobasigawa Keiko Yoda Hisashi Yamanaka Shigeru Kotake
出版者
一般社団法人 日本内科学会
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
vol.55, no.5, pp.515-517, 2016 (Released:2016-03-01)
参考文献数
16

Behçet's disease (BD) is a polysymptomatic and recurrent systemic vasculitis with a chronic course and unknown cause. We herein report a 27-year-old woman who had suffered from a recurrent fever and tonsillitis for nearly ten years with BD for who tonsillectomy was effective.
著者
Akitake Suzuki Naoki Asazuma Eigo Kikuchi Takeshi Kawanobe Yoshihiko Horimoto Ryuichi Yokobari Shigeru Kotake Takahiro Okai
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
vol.51, no.7, pp.813-816, 2012 (Released:2012-04-01)
参考文献数
9
被引用文献数
10 10 4

Although antiphospholipid antibody syndrome (APS) is an autoimmune condition that is primarily characterized by arterial or venous thrombosis or pregnancy morbidity and the presence of antiphospholipid antibodies (aPL), recent reviews have introduced non-thromboembolic manifestations. We describe the case of a 58-year-old woman with vegetation on the aortic valve, whose initial presentation of APS abruptly developed into diffuse pulmonary hemorrhage. Despite consecutive plasma exchange procedures and the administration of corticosteroids and high-dose intravenous immunoglobulin, multiple brain infarctions developed, and the patient died of pneumonia. Although anecdotal, this case might serve as a useful example of the non-standard complications of fulminant APS.