Document Detail


Medium-sized arterial vasculitis associated with vascular deposits of immunoglobin E. Favorable response to intravenous methylprednisolone and cyclophosphamide.
MedLine Citation:
PMID:  11886722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Herein we describe the case of a female patient with medium-sized arterial vasculitis associated with high serum immunoglobin E (lgE) levels in the absence of eosinophilia. During occlusive vascular events, IgE deposits in the arterial muscle layer were demonstrated by immunohistochemistry, suggesting a pathogenic role of this antibody in blood vessel inflammation. Combined treatment with methylprednisolone and cyclophosphamide was successful in reducing serum IgE levels and IgE tissue deposits and in inducing the clinical manifestations of vasculitis into remission. This primary medium-sized IgE-associated vasculitis may constitute a new syndrome not previously reported.
Authors:
Carlos Lavalle; Leopoldo Santos-Argumedo; Angeles Hernández-Cueto; Rosendo Luría-Pérez; César González-Bonilla
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of medical research     Volume:  33     ISSN:  0188-4409     ISO Abbreviation:  Arch. Med. Res.     Publication Date:    2002 Mar-Apr
Date Detail:
Created Date:  2002-03-11     Completed Date:  2002-12-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9312706     Medline TA:  Arch Med Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  195-200     Citation Subset:  IM    
Affiliation:
Departamento de Patología Experimental, CINVESTAV del IPN, Ticomán y Av. Instituto Politécnico Nacional, Col. San Pedro Zacatenco, 07360 México City, D.F., México. lavallemontalvo@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Inflammatory Agents / therapeutic use*
Arteries / immunology,  pathology*
Cyclophosphamide / therapeutic use
Cytokines / immunology,  metabolism
Female
Flow Cytometry
Humans
Immunoglobulin E / analysis*
Immunosuppressive Agents / therapeutic use
Methylprednisolone / therapeutic use*
Mexico
Vasculitis / drug therapy*,  immunology*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Cytokines; 0/Immunosuppressive Agents; 37341-29-0/Immunoglobulin E; 50-18-0/Cyclophosphamide; 83-43-2/Methylprednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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