Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Polyangiitis Overlap Syndrome with Eosinophilia Associated with an Elevated Serum Level of Major Basic Protein
Syuichi KOARADAYoshifumi TADASatomi AIHARAOsamu USHIYAMANoriaki SUZUKIAkihide OHTAKohei NAGASAWA
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JOURNAL FREE ACCESS

1999 Volume 38 Issue 9 Pages 739-743

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Abstract

Polyangiitis overlap syndrome is a new disease entity and the reported cases in the literature are still limited. We describe a female patient presenting with finger ulcers, skin eruptions, pleural effusion, interstitial pneumonia and eosinophilia. Skin biopsy showed systemic small-sized angiitis and thrombosis. She was diagnosed as having polyangiitis overlap syndrome and was successfully then treated with corticosteroid. It is also of interest that the disease activity was correlated with the number of eosinophils in peripheral blood. The measurement of the serum level of major basic protein released from eosinophils functioning as a coagulant indicated the possible association of eosinophilia with thrombosis and polyangiitis.
(Internal Medicine 38: 739-743, 1999)

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© The Japanese Society of Internal Medicine
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