PMID- 35383867 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 2185-2243 (Electronic) IS - 0385-0005 (Linking) VI - 47 IP - 1 DP - 2022 Apr 20 TI - ANCA-Associated Vasculitis in a Patient with Chronic Thromboembolic Pulmonary Hypertension. PG - 26-30 AB - An 82-year-old woman with a history of chronic thromboembolic pulmonary hypertension (CTEPH) presented with malaise, left facial nerve paralysis and the positive seroconversion of myeloperoxidase (MPO)-antineutrophil cytoplasmic antibody (ANCA). She was diagnosed with ANCA-associated vasculitis (AAV). Administration of corticosteroids significantly improved her symptoms, with a decline in the serum MPOANCA level. Ten months later than the initial presentation, she developed an AAV exacerbation with lung infiltration and pericardial effusion, which improved with high-dose corticosteroid therapy. To date, a limited number of AAV cases concomitant with pulmonary hypertension have been reported. The case report presented herein suggests a potential role for CTEPH in the development of AAV. FAU - Okada, Naoki AU - Okada N FAU - Takiguchi, Hiroto AU - Takiguchi H AD - Division of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. takihiroto@gmail.com. FAU - Suzuki, Wataru AU - Suzuki W FAU - Okazaki, Eriko AU - Okazaki E FAU - Yoshikawa, Tomohiro AU - Yoshikawa T FAU - Takeuchi, Tomoe AU - Takeuchi T FAU - Tanaka, Jun AU - Tanaka J FAU - Kitahara, Asako AU - Kitahara A FAU - Niimi, Kyoko AU - Niimi K FAU - Hayama, Naoki AU - Hayama N FAU - Ito, Yoko AU - Ito Y FAU - Oguma, Tsuyoshi AU - Oguma T FAU - Asano, Koichiro AU - Asano K LA - eng PT - Case Reports PT - Journal Article DEP - 20220420 PL - Japan TA - Tokai J Exp Clin Med JT - The Tokai journal of experimental and clinical medicine JID - 7704186 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) SB - IM MH - Aged, 80 and over MH - *Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications MH - Antibodies, Antineutrophil Cytoplasmic MH - Female MH - Humans MH - *Hypertension, Pulmonary/drug therapy/etiology EDAT- 2022/04/07 06:00 MHDA- 2022/04/08 06:00 CRDT- 2022/04/06 09:11 PHST- 2021/09/30 00:00 [received] PHST- 2021/12/06 00:00 [accepted] PHST- 2022/04/06 09:11 [entrez] PHST- 2022/04/07 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PST - epublish SO - Tokai J Exp Clin Med. 2022 Apr 20;47(1):26-30.