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A Young Patient with Microscopic Polyangiitis Requiring Hemodialysis with Complications of Repeated Episodes of Posterior Reversible Encephalopathy Syndrome Probably Due to Different Etiologies
- Source :
- Internal Medicine. 61:1423-1431
- Publication Year :
- 2022
- Publisher :
- Japanese Society of Internal Medicine, 2022.
-
Abstract
- A young woman with microscopic polyangiitis (MPA) requiring hemodialysis showed repeated posterior reversible encephalopathy syndrome (PRES) with spatiotemporal multiple lesions over a period of two months. The first PRES episode with confusion and the second PRES episode with vertigo and nausea were caused by MPA, hypertension and renal failure. These symptoms were improved by the reinforcement of MPA treatment and blood pressure management. The third PRES episode with nausea, headache, seizure and visual changes was induced by rituximab infusion and hypertension. The PRES was improved with blood pressure and convulsant management. These conditions are challenging to diagnose and treat.
- Subjects :
- Nausea
medicine.medical_treatment
Microscopic Polyangiitis
Renal Dialysis
Vertigo
Internal Medicine
medicine
Humans
Dialysis
biology
business.industry
Posterior reversible encephalopathy syndrome
General Medicine
biology.organism_classification
medicine.disease
Blood pressure
Anesthesia
Hypertension
Female
Rituximab
Posterior Leukoencephalopathy Syndrome
Hemodialysis
medicine.symptom
Microscopic polyangiitis
business
medicine.drug
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....261fb8018aef7e620685108b23e17cad