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Vol. 21. Issue 4.
Pages 170-173 (July - August 1985)
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Vol. 21. Issue 4.
Pages 170-173 (July - August 1985)
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Vasculitis sistemica necrotizante, hemorragia pulmonar difusa e insuficiencia renal
Systemic necrotizing vasculitis, diffuse pulmonary hemorrhage and renal insufficiency
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C. Martinez Vazquez, A. Pena Gonzalez, J.F. Carreiro, P. Mardomingo
Servicios de Medicina Interna y Anatomía Patológica. Hospital Xeral. Vigo
R. Cunqueiro*, J.P. Villanueva*, M.A. Courel**
* Servicio de Anatomía Patológica. Hospital Xeral. Vigo
** Sección de Nefrología. Hospital Xeral. Vigo
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Se presenta un caso de vasculitis sistémica necrotizante, hemorragia pulmonar difusa e insuficiencia renal en una paciente de 67 años con evolución en forma subaguda hacia la muerte.

Se comentan las distintas posibilidades diagnósticas de hemorragia pulmonar difusa e insuficiencia renal rápidamente progresiva para pasar a continuación a revisar los aspectos terapéuticos y diagnósticos de dicha entidad. Por último se propone, como otros autores, la denominación de un nuevo síndrome que nos recuerde que no todos los casos de hemorragia difusa e insuficiencia renal rápidamente progresiva se tratan de un síndrome de Goodspasture.

The authors describe a 67-year-old patient with necrotizing systemic vasculitis, diffuse pulmonary hemorrhage and renal insufficiency which resulted in a subacute fatal outcome.

The differential diagnosis for diffuse pulmonary hemorrhage and rapidly Progressive renal failure are discussed and diagnostic and therapeutic aspects reviewed.

In agreement with other authors, a new nomenclature is proposed for a new syndrome, in an attempt to underline that not all cases of diffuse pulmonary hemorrhage and rapidly Progressive renal failure correspond to Goodspasture's syndrome.

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Copyright © 1985. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología

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