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Journal of the Korean Neurological Association 2012;30(1): 42-44.
폐결핵과 동시에 발병한 ANCA연관혈관염
석정임, 박성훈 a 김경찬 a
대구가톨릭대학교 의과대학 신경과학교실, 내과학교실 a
ANCA-Associated Vasculitic Neuropathy with Concurrent Pulmonary Tuberculosis
Jung Im Seok
Departments of Neurology and Internal Medicine a , School of Medicine, Catholic University of Daegu, Daegu, Korea
Abstract
Antineutrophil cytoplasmic antibodies (ANCA) are closely linked to primary systemic vasculitis, and ANCA detection has became an important diagnostic hallmark of ANCA-associated vasculitis (AAV). However, it has been reported that tuberculosis is associated with positivity for ANCA and it is difficult to differentiate clinically between tuberculosis and AAV. We report a patient with the concomitant appearance of AAV and pulmonary tuberculosis. Positivity for ANCA should be carefully interpreted as indicative of AAV, especially in countries with a high prevalence of tuberculosis. Key Words: Antineutrophil cytoplasmic antibody-associated vasculitis, Tuberculosis, Peripheral nerves