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         Microscopic Polyangiitis:     more detail
  1. Microscopic polyangiitis presenting with liver dysfunction preceding rapidly progressive necrotizing glomerulonephritis.(Case Report): An article from: Southern Medical Journal by Kohzo Takebayashi, Yoshimasa Aso, et all 2004-09-01
  2. Microscopic polyangiitis in a pregnant woman. (Case Reports).: An article from: Southern Medical Journal by Ramazan Cetinkaya, Ali Riza Odabas, et all 2002-12-01

41. Health Conditions And Diseases Immune Disorders Auto-Immune Microscopic Polyangi
Top Web Sites Rachael s MPA Support Site Support and informationfor people fighting microscopic polyangiitis. Frequently asked
http://www.pastconnect.com/odp/directory/Health/Conditions_and_Diseases/Immune_D
Sponsored Links What are you looking for? the entire directory only in Auto-Immune/Microscopic_Polyangiitis Popular Categories Popular Searches Recent Categories Recent Searches ... Auto-Immune : Microscopic Polyangiitis Top Web Sites: Rachael's MPA Support Site - Support and information for people fighting Microscopic Polyangiitis. Frequently asked questions and dealing with doctors are a few of the topics discussed.
Savvy Medinfo for Patients and Doctors
- A description of Microscopic Polyangiitis along with a look at the diagnosing.
Try other search sites: Microscopic Polyangiitis " search on: All the Web AltaVista Gigablast Google USENET ... Yahoo Help build the largest human-edited directory on the web. Submit a Site Open Directory Project Become an Editor Powered by ODP++

42. Preliminary
NONNEOPLASTIC VASCULAR DISEASES 4. microscopic polyangiitis What is it This isa systemic inflamation of small blood vessels, which causes malnutrition of
http://www.kfunigraz.ac.at/patwww/umweltpat/polyangiitispat-eng.html
Results of the EU project group on Rare Pulmonary Diseases
NON-NEOPLASTIC VASCULAR DISEASES
4. MICROSCOPIC POLYANGIITIS
What is it:
This is a systemic inflamation of small blood vessels, which causes malnutrition of the peripheral tissue. Many different organs can be affected, the lung and kidney are most often involved. Bleeding is the most common symptom.
Why:
The reason is unknown. An autoimmune cause is favoured by most reports.
How it is diagnosed:
Clinically by organ dysfunction in two and more different organs, by a positive ANCA test (antibodies detected in the blood), and by radiological changes associated with reduced blood flow and bleeding in different organs simultaneously. This is than confirmed by analysis of tissue biopsies.
What can be done:
A corticosteroid treatment will suffice in most cases, but an immunosuppressive or cytostatic treatment might be required in severe cases.

43. Preliminary
NONNEOPLASTIC VASCULAR DISEASES 4. microscopic polyangiitis Definition Vasculitisthat affects only the smallest blood vessels arterioles, capillaries and
http://www.kfunigraz.ac.at/patwww/umweltpat/polyangiitis.html
Results of the EU project group on Rare Pulmonary Diseases
NON-NEOPLASTIC VASCULAR DISEASES
4. MICROSCOPIC POLYANGIITIS
Definition: Vasculitis that affects only the smallest blood vessels: arterioles, capillaries and venules. Lung involvement is seen in about 50% of the patients and usually presents as a pulmonary hemorrhage. The incidence is 1,7*10 . Clinically ANCA antibodies are usually positive. Many cases present with similar symptoms as Wegener's granulomatosis. However, large infarcts or nodules are absent. The organ distribution is similar to Wegener's.
Histopathologically alveolar hemorrhage is observed with capillaritis with neutrophilic infiltration of alveolar walls. Sometimes in a biopsy the capillaritis may be scant or absent, but on the other hand can also be obscured by presentation with diffuse alveolar damage.

44. Future Drugs
common reason to request a test for antineutrophil cytoplasmic antibodies (ANCA)is to diagnose Wegener’s granulomatosis and microscopic polyangiitis and to
http://www.future-drugs.com/summery.asp?articleid=158&submit=txt2

45. Å´½º¿Â¶óÀÎ KIMS OnLine - - ´ëÇѹα¹ ÀǾàÁ¤º¸¼¾ÅÍ
in which the vasculitic process is the main focus of tissue injury (eg giant cellarteritis, microscopic polyangiitis) from those deemed to be associated with
http://www.kimsonline.co.kr/medicalnews/monews/articleview.asp?id=6303&code2=INI

46. Untitled
Diffuse Pulmonary Hemorrhage in microscopic polyangiitis. Clinical Course. Abdominal pain chemicals. microscopic polyangiitis. - Necrotizing
http://kstr.radiology.or.kr/chest/2002 Imaging Conference Spring/case6/discussio
Diffuse Pulmonary Hemorrhage in Microscopic Polyangiitis Clinical Course - Abdominal pain - appedectomy
- Hematuria, albuminemia
- Anemia
- Rapid resolution of pulmonary opacity
- Biopsy from appendectomy specimen: Necrotizing small vessel vasculitis, consistent with microscopic polyangiitis Brief Discussion Causes of Diffuse Pulmonary Hemorrhage - Anti-basement membrane antibody disease(Goodpasture s syndrome)
Immune complex disease (SLE, WG, MPA, PAN, HS disease, RA, MCTD)
Idiopathic
- Bleeding disorders
- Drug, chemicals Microscopic Polyangiitis - Necrotizing vasculitis affects small vessels
- Pathogenesis unclear, no immune complex deposition
- Involvement: kidney, lung, skin, GI - P-ANCA (majority), anti-PR3, C-ANCA (occ.) - Histology: intra-alveolar hemorrhage / hemosiderin-laden macrophage / interstitial edema Radiology: patchy, bilateral air-space opacities / pleural effusion (16 %) / pulmonary edema (6 %) Tx: corticosteroid and cyclophosphamide - Prognosis.: high mortality in pts with pulmonary hemorrhage

47. Microscopic Polyangiitis From Linkspider UK Health Directory
microscopic polyangiitis by Linkspider UK, microscopic polyangiitis linksand microscopic polyangiitis topics from our Health directory.
http://linkspider.co.uk/Health/ConditionsandDiseases/ImmuneDisorders/Auto-Immune

48. Scripta Academica Lundensis Dissertations From
Autoimmunity in glomerulonephritis; serological diagnosis and clinical outcome withspecial reference to Wegener´s granulomatosis and microscopic polyangiitis
http://theses.lub.lu.se/postgrad/search.tkl?field_query1=keywords&query1=microsc

49. Scripta Academica Lundensis Dissertations From
in glomerulonephritis; serological diagnosis and clinical outcome with special referenceto Wegener´s granulomatosis and microscopic polyangiitis by Westman
http://theses.lub.lu.se/postgrad/search.tkl?field_query1=pubid&query1=med_185&re

50. Clinical Trials Detail
Drug Therapy for Patients with pANCA microscopic polyangiitis and Mild to ModerateRenal Dysfunction. Trial Status Active. Why is this study being done?
http://mayoresearch.mayo.edu/mayo/research/trials/clinicaltrialdetails.cfm?trial

51. Clinical Trials Detail
Drug Therapy for Patients with pANCA microscopic polyangiitis and Mild to ModerateRenal Dysfunction. Trial Status Active. Why is this study being done?
http://mayoresearch.mayo.edu/mayo/research/trials/clinicaltrialdetails.cfm?rende

52. Clinical Trials For Wegener S Granulomatosis
Pilot Trial of Rituximab (Rituxan) in ANCAAssociated Vasculitis (Wegener s Granulomatosisand microscopic polyangiitis) Mayo Clinic, Rochester, MN For
http://www.wgassociation.org/aboutwg/trials.html

53. Correspondence Re GAL AA, VELASQUEZ A. ANTINEUTROPHIL CYTOPLASMIC
A. ANTINEUTROPHIL CYTOPLASMIC AUTOANTIBODY IN THE ABSENCE OF WEGENER S GRANULOMATOSISOR microscopic polyangiitis IMPLICATIONS FOR THE SURGICAL PATHOLOGIST.
http://www.nature.com/cgi-taf/dynapage.taf?file=/modpathol/journal/v15/n11/full/

54. Abstract - Modern Pathology
Antineutrophil Cytoplasmic Autoantibody in the Absence of Wegener s Granulomatosisor microscopic polyangiitis Implications for the Surgical Pathologist.
http://www.nature.com/cgi-taf/dynapage.taf?file=/modpathol/journal/v15/n3/abs/38

55. ANCA­Associated Small-Vessel Vasculitis- April 15, 2002 - American Family Physi
ANCA­associated smallvessel vasculitis includes microscopic polyangiitis, Wegener sgranulomatosis, Churg-Strauss syndrome, and drug-induced vasculitis.
http://www.aafp.org/afp/20020415/1615.html

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ISHAK A. MANSI, M.D., PH.D., ADRIANA OPRAN, M.D., and FRED ROSNER, M.D.
Mount Sinai Services at Queens Hospital Center, Jamaica, New York
and the Mount Sinai School of Medicine, New York, New York A PDF version of this document is available. Download PDF now (6 pages / 79KB). More information on using PDF files. V asculitis is a process caused by inflammation of blood vessel walls and results in a variety of disorders. A good and accepted classification system for vasculitis has not emerged, although it may be categorized by the size or type of the involved blood vessel as large-, medium-, or small-vessel vasculitis. Small-vessel vasculitis is defined as vasculitis that affects vessels smaller than arteries (i.e., arterioles, venules, and capillaries); however, small-vessel vasculitis can also involve medium-sized arteries. Figure 1 Clinical FIGURE 1. Major classifications of vasculitis. (ANCA = anti-neutrophilic cytoplasmic antibodies) Information from references 1-3.

56. New Treatment Strategies For Systemic Vasculitis
vasculitides. This includes Wegener s granulomatosis, microscopic polyangiitisand ChurgStrauss disease. History and Biases of Research.
http://rheumatology.hss.edu/phys/gr/calabrese_lec_tran.asp

Home
For Physicians Grand Rounds Email a Friend ... Audio Version New Treatment Strategies for Systemic Vasculitis
(October 10, 2001) Leonard H. Calabrese, DO
Vice-Chairman, Department of Rheumatic and Immunologic Diseases,
Cleveland Clinic Foundation
Stephen A. Paget, MD: It is a pleasure today to introduce a good friend, Leonard Calabrese, who is the Director of Clinical Immunology at the Cleveland Clinic Foundation and a Professor of Medicine at Ohio State University. Len is world renowned for his interest and focus for many years relating to immunologic and autoimmune diseases. But one of his particular interests, and one I know he has spoken on quite a bit in the past, are the vasculitides. He has given us some of the most basic information on primary angiitis of the brain, and today he will talk about new treatment strategies for vasculitis. It is a pleasure to welcome you to HSS and New York. Leonard H. Calabrese, DO:

57. Serum Levels Of SIL-2R In Patients With ANCA Associated Vasculitis
These patients were classified as 7 cases of Wegener s granulomatosis(WG) and 12 cases of microscopic polyangiitis (MPA). Elevated
http://www.geocities.com/oarranzli/jnsIL2R.htm
Serum levels of soluble interleukin-2 receptor in patients with ANCA-associated vasculitis
Serum levels of soluble interleukin-2 receptor in patients with ANCA-associated vasculitis
Oscar Arranz, Jordi Ara, Rosa Rodríguez, Anna Saurina, Eduard Mirapeix, Alejandro Darnell - Nephrology Service, Hospital Clinic, University of Barcelona, IDIBAPS, Barcelona - Spain JNEPHROL 2000; 13: 59-64 ABSTRACT: Key words: Soluble interleukin-2 receptor, Vasculitis, Wegener's granulomatosis, Microscopic polyangiitis, anti-neutrophil cytoplasmic antibodies
Introduction
Considered an early marker of lymphocytic activation, the interleukin-2 receptor (IL-2R) has been found in several cell lines such as T and B lymphocytes, macrophages and natural killer (NK) cells. The interaction of IL-2 with IL-2R leads to the stimulation of a complex set of signal transduction pathways resulting in T cell proliferation, T and B cell growth, generation of lymphokine-activated killer cells, and the augmentation, proliferation and maturation of NK cells (1).
Rubin et al (2) described a soluble form of the IL-2R (sIL-2R) which appeared in chemically activated lymphocyte culture supernatants when IL-2R cell surface expression began to decline.

58. Wauu.DE: Health: Conditions And Diseases: Immune Disorders: Auto-Immune: Microsc
Wauu.DE Health Conditions and Diseases Immune DisordersAutoImmune microscopic polyangiitis.
http://www.wauu.de/Health/Conditions_and_Diseases/Immune_Disorders/Auto-Immune/M
Home Health Conditions and Diseases Immune Disorders ... Auto-Immune : Microscopic Polyangiitis Search DMOZ-Verzeichnis:
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Links:
  • Microscopic Polyangiitis in a Pediatric Patient
    From Archives of Family Medicine, a description of this disorder, followed by a case study.
    http://archfami.ama-assn.org/issues/current/abs/fbf0009.html
  • Rachael's MPA Support Site
    Support and information for people fighting Microscopic Polyangiitis. Frequently asked questions and dealing with doctors are a few of the topics discussed.
    http://www.users.fast.net/~rcb1/mpa/
  • Savvy Medinfo for Patients and Doctors
    A description of Microscopic Polyangiitis along with a look at the diagnosing.
    http://www.blackandwhite.org/micro/index.shtml
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59. Polyarteritis Nodosa -- New Treatments, March 2, 2004
The term microscopic polyangiitis (microscopic polyarteritis) describesthe syndrome. Incidence And Prevalence. Pan is an uncommon disorder.
http://www.medical-library.org/journals2a/polyarteritis_nodosa.htm
Click here to view next page of this article
New Treatments for Polyarteritis Nodosa
Definition
Classic polyarteritis nodosa (PAN) is a multisystem, necrotizing vasculitis of small and medium-sized muscular arteries in which involvement of the renal and visceral arteries is characteristic. PAN does not involve pulmonary arteries, although bronchial vessels may be involved; granulomas, significant eosinophilia, and an allergic diathesis are not part of the classic syndrome. The term microscopic polyangiitis (microscopic polyarteritis) describes the syndrome.
Incidence And Prevalence
Pan is an uncommon disorder. The mean age at onset in reports of PAN is 48 years, and the male-to-female ratio
Pathophysiology And Pathogenesis
The vascular lesion in classic PAN is a necrotizing inflammation of small and medium-sized muscular arteries. The lesions are segmental and tend to involve bifurcations and branchings of arteries. They may spread circumferentially. Multiple organ systems are involved, and the clinicopathologic findings reflect the degree and location of vessel involvement and the resulting ischemic changes. As mentioned above, pulmonary arteries are not involved in classic PAN , and bronchial artery involvement is uncommon, whereas pulmonary capillaritis occurs frequently in microscopic polyangiitis. The pathology in the kidney in classic

60. Arthritis Research Campaign | Vasculitis
every year, including the more severe types such as polyarteritis nodosa, Wegener’sgranulomatosis, ChurgStrauss syndrome and microscopic polyangiitis.
http://www.arc.org.uk/newsviews/arctdy/107/vasc.htm

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Vasculitis
Professor David Scott, of the Norfolk and Norwich Hospital, explains the various diseases classed as vasculitis, and highlights ever-improving treatments.
What it is
Blood vessels carry blood and, therefore, oxygen to all organs and tissues in the body, so any part of the body can be involved in vasculitis. The consequences, therefore, depend on the site of the blood vessels involved, the size of the blood vessels involved and also the number of blood vessels involved. When small arteries are involved the inflammation often causes the artery to become blocked so the tissues supplied by that artery will die (i.e. become gangrenous). Surprisingly, when larger vessels are involved only part of the wall may become inflamed which can become weak and, because of the high pressure inside arteries, this weakness can cause the wall to expand forming an aneurysm (swelling) which can occasionally rupture with severe bleeding into the surrounding tissues.
When patients first develop vasculitis they undergo tests for a number of reasons.

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