PMID- 16189636 OWN - NLM STAT- MEDLINE DCOM- 20051223 LR - 20181113 IS - 1342-1751 (Print) IS - 1342-1751 (Linking) VI - 9 IP - 3 DP - 2005 Sep TI - Microscopic polyangiitis after silicone breast implantation. PG - 252-4 AB - We describe the case of a patient who developed microscopic polyangiitis (MPA) after silicone breast implantation. A 60-year-old woman who had undergone silicone breast implantation was admitted to our hospital with complaints of general malaise and hematoproteinuria. She was diagnosed as having MPA with evidence of acute progressive renal failure, pulmonary hemorrhage, and positivity for myeloperoxidase-antineutrophil cytoplasmic antibody (ANCA). A renal biopsy showed severe necrotizing and crescentic glomerulonephritis with arteriolitis. The patient received high-dose steroids and plasma exchange treatment, but died of progressive pulmonary hemorrhage and multiple cerebral hemorrhage. Silicone implantation is associated with scleroderma, systemic lupus erythematosus, and rheumatoid arthritis. This case report indicates the possibility of the development of MPA after silicone breast implantation. FAU - Iyoda, Masayuki AU - Iyoda M AD - Department of Nephrology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan, iyoda@med.showa-u.ac.jp FAU - Ito, Jyun AU - Ito J FAU - Nagai, Hisako AU - Nagai H FAU - Sato, Kasumi AU - Sato K FAU - Kuroki, Aki AU - Kuroki A FAU - Shibata, Takanori AU - Shibata T FAU - Kitazawa, Kozo AU - Kitazawa K FAU - Sugisaki, Tetsuzo AU - Sugisaki T LA - eng PT - Case Reports PT - Journal Article PL - Japan TA - Clin Exp Nephrol JT - Clinical and experimental nephrology JID - 9709923 RN - 0 (Silicone Gels) SB - IM MH - Acute Kidney Injury/*etiology MH - Breast Implantation/*adverse effects MH - Fatal Outcome MH - Female MH - Glomerulonephritis/etiology/pathology MH - Humans MH - Middle Aged MH - Silicone Gels MH - Vasculitis/*etiology/pathology EDAT- 2005/09/29 09:00 MHDA- 2005/12/24 09:00 CRDT- 2005/09/29 09:00 PHST- 2004/12/21 00:00 [received] PHST- 2005/05/06 00:00 [accepted] PHST- 2005/09/29 09:00 [pubmed] PHST- 2005/12/24 09:00 [medline] PHST- 2005/09/29 09:00 [entrez] AID - 10.1007/s10157-005-0366-7 [doi] PST - ppublish SO - Clin Exp Nephrol. 2005 Sep;9(3):252-4. doi: 10.1007/s10157-005-0366-7.