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MR Vol.11 No.2 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.2 |
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Antiphospholipid syndrome with complete abdominal
aorta occlusion and chondritis |
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| M. Saji1, A. Nakajima1, W. Sendo1, M. Tanaka1,
Y. Koseki1, N. Ichikawa1, M. Harigai1, H. Akama1, A. Taniguchi1,
C. Terai1, M. Hara1, N. Kamatani1 |
| (1) Institute of Rheumatology, Tokyo Women's
Medical University, Aoyama Hospital, 10-22 Kawada-cho, Shinjuku-ku,
Tokyo
162-0054, Japan |
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| Abstract |
| Abstract We report a case of a 42-year-old man
with antiphospholipid syndrome (APS) with chondritis. He presented
with preceding insidious progressive occlusion of the bilateral common
iliac arteries extending to the lower two-thirds of the abdominal
aorta. Active thrombotic events developed concurrent with the onset
of chondritis, and resulted in massive thromboses in multiple organs
and renal dysfunction. Both conditions responded well to combined
intravenous high-dose methylprednisolone and anticoagulation therapy.
The inflammatory component of his disease may have played a major
role in the pathogenesis of thrombosis given the concurrent active
inflammation from his chondritis. |
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| Key words |
| Key words Antiphospholipid syndrome ・ Chondritis
・ Leriche's syndrome ・ Relapsing polychondritis ・ Systemic lupus
erythematosus |
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