Paraparesis Secondary to Microscopic Polyangiitis Resistantto Corticosteroids. Report of a Case

Ignacio Saguier Padilla, Cinthya Reznik, María Eugenia Conti, Flavio Mercado, Agustina Causillas, Micaela Blanco, Ricardo Barcia
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Abstract

Microscopic polyangiitis (MPA) is an ANCA-associated vasculitis. Almost half of the patients may present with involvement of the peripheral nervous system such as mononeuropathy or polyneuropathy. The initial treatment is with corticosteroids, and up to 30% are non-responders, where other treatments should be used. Rapidly progressive renal failure and intestinal ischemia are usually high-mortality complications.
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耐糖皮质激素的显微镜下多血管炎继发的肺截瘫。个案报告
显微多血管炎(MPA)是一种与anca相关的血管炎。几乎一半的患者可能表现为累及周围神经系统,如单神经病变或多神经病变。最初的治疗是使用皮质类固醇,高达30%的患者无反应,应使用其他治疗方法。快速进展性肾衰竭和肠缺血通常是高死亡率的并发症。
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