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Vol. 1. Issue 3.
Pages 177-179 (September - October 2005)
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Vol. 1. Issue 3.
Pages 177-179 (September - October 2005)
Caso clínico
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Poliarteritis microscópica en un paciente con esclerosis sistémica
Microscopic polyangiitis in a patient with systemic sclerosis
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J. Durueloa, E. Cuendea,
Corresponding author
ecuende.hupa@salud.madrid.org

Correspondencia: Dr. E. Cuende. Servicio de Reumatología. Hospital Universitario Príncipe de Asturias. Crta. Alcalá-Meco, s/n. 28805 Alcalá de Henares. Madrid.
, E. Preciadob, R. Díaz de Otazuc, J.C. Vesgaa
a Unidad de Reumatología. Hospital de Txagorritxu. Vitoria. Álava. España
b Servicio de Bioquímica. Hospital de Txagorritxu. Vitoria. Álava. España
c Servicio de Anatomía Patológica. Hospital de Txagorritxu. Vitoria. Álava. España
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La coexistencia de esclerosis sistémica (ES) y vasculitis se ha comunicado en pocas ocasiones. Presentamos a un paciente de 65 años, con ES limitada diagnosticada 6 años antes, que desarrolló una glomerulonefritis necrosante focal con proliferación extracapilar asociada a anticuerpos anticitoplasma de neutrófilo con patrón perinuclear (p-ANCA) de especificidad antimieloperoxidasa (anti-MPO) en ausencia de exposición a la D-penicilamina.

Palabras clave:
Esclerosis sistémica
Poliarteritis microscópica
P-ANCA

The coexistence of systemic sclerosis (SSc) and vasculitis has been infrequently reported. We present a 65-year-old man who, 6 years previously, had been diagnosed with limited SSc, and who developed a focal segmental necrotizing crescent glomerulonephritis associated with perinuclear antineutrophil cytoplasmic antibodies with antimyeloperoxidase specificity in the absence of Dpenicillamine exposure.

Key words:
Systemic sclerosis
Microscopic polyangiitis
P-ANCAs
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Bibliografía
[1.]
J.F. Donohoe.
Scleroderma and the kidney.
Kidney Int, 41 (1992), pp. 462-477
[2.]
H. Endo, T. Hosono, H. Kondo.
Antineutrophil cytoplasmic autoantibodies in 6 patients with renal failure and systemic sclerosis.
J Rheumatol, 21 (1994), pp. 864-870
[3.]
S. Akimoto, O. Ishikawa, T. Tamura, Y. Miyachi.
Antineutrophil cytoplasmic autoantibodies in patients with systemic sclerosis.
Br J Dermatol, 134 (1996), pp. 407-410
[4.]
C.V. Oddis, C.H. Eisenbeis Jr, H.E. Reidbord, V.D. Steen, T.A. Medsger Jr.
Vasculitis in systemic sclerosis: Association with Sjögren's syndrome and the CREST syndrome variant.
J Rheumatol, 14 (1987), pp. 942-948
[5.]
A.L. Wutzl, R.N. Foley, B.R. O’Driscoll, R.S. Reeve, R. Chisholm, A.L. Herrick.
Microscopic polyangiitis presenting as pulmonary-renal syndrome in a patient with long-standing diffuse cutaneous systemic sclerosis and antibodies to myeloperoxidase.
Arthritis Care Res, 45 (2001), pp. 533-536
[6.]
A. Omote, M. Muramatsu, Y. Sugimoto, S. Hosono, R. Murakami, H. Tanaka, et al.
Myeloperoxidase-specific anti-neutrophil cytoplasmic autoantibodies-related scleroderma renal crisis treated with double-filtration plasmapheresis.
Intern Med, 36 (1997), pp. 508-513
[7.]
G.S. Hillis, I.H. Khan, J.G. Simpson, A.J. Rees.
Scleroderma, D-penicillamine treatment, and progressive renal failure associated with positive antimyeloperoxidase antineutrophil cytoplasmic antibodies.
Am J Kidney Dis, 30 (1997), pp. 279-281
[8.]
A. Katrib, A. Sturgess, J.V. Bertouch.
Systemic sclerosis and antineutrophil cytoplasmic autoantibody-associated renal failure.
Rheumatol Int, 19 (1999), pp. 61-63
[9.]
B. Maes, A. Van Mieghem, T. Messiaen, D. Kuypers, B. Van Damme, Y. Vanrenterghem.
Limited cutaneous systemic sclerosis associated with MPO-ANCA positive renal small vessel vasculitis of the microscopic polyangiitis type.
Am J Kidney Dis, 36 (2000), pp. E16
[10.]
S. Kumakura, H. Ishikura, M. Kondo, Y. Murakawa, S. Kobayashi.
Hemophagocytosis associated with MPO-ANCA positive vasculitis in systemic sclerosis.
Clin Exp Rheumatol, 20 (2002), pp. 411-414
[11.]
D.J. Helfrich, B. Banner, V.D. Steen, T.A. Medsger Jr.
Normotensive renal failure in systemic sclerosis.
Arthritis Rheum, 32 (1989), pp. 1128-1134
[12.]
A.L. Herrick, P.K. Oogarah, A.J. Freemont, R. Marcuson, M. Haeney, M.IV. Jayson.
Vasculitis in patients with systemic sclerosis and severe digital ischemia requiring amputation.
Ann Rheum Dis, 53 (1994), pp. 323-326
[13.]
A. Morita, T. Tsuji.
Necrotizing vasculitis in a patient with generalized morphea.
J Am Acad Dermatol, 45 (2001), pp. S215-S217
[14.]
P.A. Merkel, R.P. Polisson, Y. Chang, S.J. Skates, J.L. Niles.
Prevalence of antineutrophil cytoplasmic antibodies in a large inception cohort of patients with connective tissue disease.
Ann Intern Med, 126 (1997), pp. 866-873
[15.]
I.C. Locke, J.G. Worrall, B. Leaker, C.M. Black, G. Cambridge.
Autoantibodies to myeloperoxidase in systemic sclerosis.
J Rheumatol, 24 (1997), pp. 86-89
[16.]
H.K. Choi, P.A. Merkel, A.M. Walker, J.L. Niles.
Drug-associated antineutrophil cytoplasmic antibody-positive vasculitis.
[17.]
H.K. Choi, M.C. Slot, G. Pan, C.A. Weissbach, J.L. Niles, P.A. Merkel.
Evaluation of antineutrophil cytoplasmic antibody seroconversion induced by minocycline, sulfasalazine, or penicillamine.
[18.]
F. Arnalich, C. Lahoz, M. Picazo, A. Monereo, J.R. Arribas, J. Martínez-Ara, et al.
Polyarteritis nodosa and necrotizing glomerulonephritis associated with long-standing silicosis.
Nephron, 51 (1989), pp. 544-547
Copyright © 2005. Elsevier España S.L. Barcelona
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