PMID- 28943556 OWN - NLM STAT- MEDLINE DCOM- 20180425 LR - 20181202 IS - 1349-7235 (Electronic) IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 56 IP - 21 DP - 2017 Nov 1 TI - Central Diabetes Insipidus in Refractory Antineutrophil Cytoplasmic Antibody-associated Vasculitis. PG - 2943-2948 LID - 10.2169/internalmedicine.8683-16 [doi] AB - We herein describe two cases of refractory antineutrophil cytoplasmic antibody-associated vasculitis (AAV) complicated with diabetes insipidus (DI) possibly related to hypertrophic pachymeningitis (HP). One patient had microscopic polyangiitis and HP, which were refractory to cyclophosphamide, azathioprine, rituximab, mycophenolate mofetil (MMF), and mizoribine. Remission was finally achieved with the use of etanercept, but DI occurred 5 years later. The other patient had granulomatosis with polyangiitis, which that was refractory to cyclophosphamide, methotrexate, MMF, and rituximab. DI subsequently developed, but was successfully treated with etanercept. Dura mater hypertrophy was macroscopically observed in the latter case. FAU - Ohashi, Keiji AU - Ohashi K AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Morishita, Michiko AU - Morishita M AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Watanabe, Haruki AU - Watanabe H AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Sada, Ken-Ei AU - Sada KE AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Katsuyama, Takayuki AU - Katsuyama T AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Miyawaki, Yoshia AU - Miyawaki Y AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Katsuyama, Eri AU - Katsuyama E AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Narazaki, Mariko AU - Narazaki M AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Tatebe, Noriko AU - Tatebe N AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Watanabe, Katsue AU - Watanabe K AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Kawabata, Tomoko AU - Kawabata T AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. FAU - Wada, Jun AU - Wada J AD - Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20170925 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Immunosuppressive Agents) RN - OP401G7OJC (Etanercept) SB - IM MH - Aged MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/*complications/*drug therapy MH - Diabetes Insipidus/*complications MH - Etanercept/*therapeutic use MH - Female MH - Humans MH - Immunosuppressive Agents/*therapeutic use MH - Meningitis/complications MH - Microscopic Polyangiitis/complications PMC - PMC5709644 OTO - NOTNLM OT - antineutrophil cytoplasmic antibody-associated vasculitis OT - diabetes insipidus OT - etanercept OT - hypertrophic pachymeningitis OT - rituximab EDAT- 2017/09/26 06:00 MHDA- 2018/04/26 06:00 PMCR- 2017/11/01 CRDT- 2017/09/26 06:00 PHST- 2017/09/26 06:00 [pubmed] PHST- 2018/04/26 06:00 [medline] PHST- 2017/09/26 06:00 [entrez] PHST- 2017/11/01 00:00 [pmc-release] AID - 10.2169/internalmedicine.8683-16 [doi] PST - ppublish SO - Intern Med. 2017 Nov 1;56(21):2943-2948. doi: 10.2169/internalmedicine.8683-16. Epub 2017 Sep 25.