About 1 case of Wegeners granulomatosis from the Integrative Medicine Anti-neutrophil cytoplasmic antibodies on the experience of small vessel vasculitis.docVIP

 PAGE \* MERGEFORMAT 13 About 1 case of Wegener’s granulomatosis from the Integrative Medicine Anti-neutrophil cytoplasmic antibodies on the experience of small vessel vasculitis [Keywords:] Wegener’s granulomatosis antineutrophil cytoplasmic antibody associated small vasculitis in Western medicine therapy Wegener’s granulomatosis (Wegener’s Granulomatosis, WG) is a capillary, arterial and venous involvement mainly of small systemic necrotizing granulomatous vasculitis, including upper respiratory tract, lung and kidney disease as the main organ, 90% of patients in the targeted protease 3 (PR3) antineutrophil cytoplasmic antibody (ANCA) positive results, are autoimmune diseases. WG untreated poor prognosis, but early diagnosis, and strive to give prior renal dysfunction active treatment, can significantly improve the prognosis of the disease.’re on one case after treatment of patients with WG, talk about the Integrative Medicine ANCA associated small vessel vasculitis of clinical experience. A typical case 1.1 history Patients, male, 70 years old, due to “fever, cough 2 weeks, gross hematuria 10 days” in the August 19, 2006 hospitalization, number 243819. 2 weeks before admission in patients with fever after cold, body temperature 39.0 ℃, with cough, expectoration with bloodshot eyes, to our emergency blood investigations showed: WBC 10.6 × 109 / L, N 71.9%, suspected of “lung infection”, to “Li Xin Fu” and other treatment, but the body heat rebate .10 d See also red urine before, and feel all big joints. routine blood test showed: WBC 11.8 × 109 / L, N 91.9%. who has with “Victoria Ruth”, “Aztreonam” and other antibiotics and traditional Chinese medicine, temperature is normal, still coughing bloody sputum, and left testicular pain and discomfort. Check urine: protein (PRO) + +, occult blood (BLD )+++, RBC 236/μL. Renal: blood urea nitrogen (BUN) 10.6 mmol / L, creatinine (SCr) 194.0 μmol / L. Renal ultrasound showed B: renal substantial damag