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Case Reports in Nephrology - Volume 2014 2014, Article ID 902089, 3 pages -

Case ReportDepartment of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA

Received 31 July 2014; Revised 29 September 2014; Accepted 29 September 2014; Published 16 October 2014

Academic Editor: Sofia Lionaki

Copyright © 2014 Judy Tan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a case of a patient who developed microscopic polyangiitis MPA in the setting of exposure to silicone after breast implantation. A 57-year-old Hispanic woman was admitted to our hospital with complaints of fever, cough, and hemoptysis. She had undergone silicone breast implantation two years prior to presentation. She was diagnosed as having microscopic polyangiitis MPA based on acute progressive renal failure, hematuria, pulmonary hemorrhage, and positivity for myeloperoxidase-anti-neutrophil cytoplasmic antibody ANCA. A renal biopsy performed showed focal segmental necrotizing and crescentic glomerulonephritis. The patient received high dose steroids, cyclophosphamide, and plasmapheresis with remarkable clinical response. This case report raises the possibility of the development of MPA after silicone exposure from breast implantation.





Autor: Judy Tan, Fuad Spath, Rakesh Malhotra, Zaher Hamadeh, and Anjali Acharya

Fuente: https://www.hindawi.com/



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