scholarly journals A case report of effective intravenous immunoglobulin for lower limbs pain in steroid-resistant eosinophilic granulomatosis with polyangiitis

2014 ◽  
Vol 54 (3) ◽  
pp. 231-233
Author(s):  
Masashi Tsuchida ◽  
Takao Fukushima ◽  
Kunihiko Makino ◽  
Hiroshi Miida ◽  
Takeo Kuwabara
2021 ◽  
pp. 329-333
Author(s):  
Kanako Kurihara ◽  
Jun Tsugawa ◽  
Shinji Ouma ◽  
Toshiyasu Ogata ◽  
Mikiko Aoki ◽  
...  

A 66-year-old woman with a history of bronchial asthma had shortness of breath and fatigue upon mild exercise. She was diagnosed as congestive heart failure. A blood test showed eosinophilia without the presence of anti-neutrophil cytoplasmic antibody (ANCA), and a myocardial biopsy specimen revealed eosinophilic infiltration in the myocardium. Eosinophilia was improved when she was administered short-term methylprednisolone. After that, she had numbness and pain in her lower limbs with re-elevation of eosinophils. She had dysesthesia and hypalgesia in the distal part of the limbs. Sural nerve biopsy revealed axonal degeneration and thickness of the arterial wall, indicating a diagnosis of eosinophilic granulomatosis with polyangiitis (EGPA). Two courses of steroid pulse therapy were performed, resulting in marked improvement of her sensory symptoms. ANCA-negative EGPA might be associated with myocarditis and peripheral neuropathy. A sufficient immunotherapy should have been considered to prevent rapid progression.


2019 ◽  
Author(s):  
FLÁVIO RIBEIRO PEREIRA ◽  
JANNINE FARIAS BELLINI LEITE ◽  
ISABELLA MATIAS RIBEIRO ◽  
FERNANDA MARVILA FAGUNDES LAMARCA ◽  
NATÁLIA MIRANDA GAVA ◽  
...  

2021 ◽  
Author(s):  
Luiz Felipe Dipe Prates Miranda ◽  
Maria Carolina Fonseca Coelho ◽  
Rafaela Vieralves João Izzo Pinto ◽  
Débora Rocha de Moura Rodrigues de Aguiar ◽  
Kátia Cristina Carvalho de Melo Matos

2021 ◽  
Author(s):  
Larissa Maria Oliveira Gonzaga ◽  
Ana Luisa Bagno de Almeida ◽  
Aurivan Essado Dantas ◽  
Carolina Ruas Freire Santos ◽  
Anna Carolina Faria Moreira Gomes Tavares ◽  
...  

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