Document Detail


Pantoprazole and perinuclear antineutrophil cytoplasmic antibody-associated vasculitis.
MedLine Citation:
PMID:  16482642     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Systemic vasculitis may, at times, be drug-induced and associated with antineutrophil cytoplasmic antibodies (ANCA). However, pantoprazole, a commonly used and well-tolerated proton pump inhibitor, has not previously been reported to cause ANCA-associated syndromes. We describe a patient who developed interstitial nephritis, cutaneous vasculitis, a perinuclear ANCA staining pattern (pANCA) on immunofluorescence, and anti-myeloperoxidase antibodies (MPO-ANCA) in association with pantoprazole. We review various immune-mediated syndromes reported in association with proton pump inhibitors, including one report of omeprazole associated with interstitial nephritis and the development of ANCA.
Authors:
Dana Jacobs-Kosmin; Chris T Derk; Nora Sandorfi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-02-15
Journal Detail:
Title:  The Journal of rheumatology     Volume:  33     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-02     Completed Date:  2006-07-11     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  629-32     Citation Subset:  IM    
Affiliation:
Division of Rheumatology, Department of Medicine, Thomas Jefferson University, Philadelphia, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
2-Pyridinylmethylsulfinylbenzimidazoles
Acute Disease
Aged
Anti-Ulcer Agents / adverse effects*
Antibodies, Antineutrophil Cytoplasmic / blood*
Benzimidazoles / adverse effects*
Cell Nucleus / immunology,  pathology*
Chronic Disease
Exanthema / chemically induced,  immunology,  therapy
Female
Humans
Methylprednisolone / therapeutic use
Nephritis, Interstitial / chemically induced,  immunology,  therapy
Omeprazole / adverse effects,  analogs & derivatives*
Peroxidase / immunology
Renal Dialysis
Sulfoxides / adverse effects*
Treatment Outcome
Vasculitis, Leukocytoclastic, Cutaneous / chemically induced*,  immunology,  therapy
Chemical
Reg. No./Substance:
0/2-Pyridinylmethylsulfinylbenzimidazoles; 0/Anti-Ulcer Agents; 0/Antibodies, Antineutrophil Cytoplasmic; 0/Benzimidazoles; 0/Sulfoxides; 102625-70-7/pantoprazole; 73590-58-6/Omeprazole; 83-43-2/Methylprednisolone; EC 1.11.1.7/Peroxidase

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


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