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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

An autopsy case of adult woman who died of massive hemoptysis due to a bronchial artery aneurysm associated with polyarteritis nodosa

Atsushi Sumida  Naoto Kobayashi  Tomomi Ogawa  Shingo Hirano  Akihiro Nakao 

Department of Respiratory Medicine, Tsushima Municipal Hospital

ABSTRACT

A 29-year-old woman presented with hemoptysis. She developed massive hemoptysis in the emergency department, and cardiopulmonary resuscitation was performed. Examination revealed a return of spontaneous circulation, but no spontaneous breathing. On the sixth hospital day, she died. Autopsy revealed fibrinoid necrotizing vasculitis in bronchial, coronary, renal, splenic, ovarian, mesenteric, cholecystic, and adrenal arteries 0.2 to 2 mm in diameter, and multiple renal infarctions and myocardial infarctions were present. She was diagnosed with polyarteritis nodosa. Massive hemoptysis was probably due to a bronchial artery aneurysm accompanied by the destruction of external elastic membrane and the deposition of hemosiderin. We report this case because the complication of massive hemoptysis in a patient associated with polyarteritis nodosa is considered to be rare.

KEYWORDS

Polyarteritis nodosa  Bronchial artery aneurysm  Massive hemoptysis 

Received 10 Dec 2016 / Accepted 22 Mar 2017

AJRS, 6(4): 291-294, 2017

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