ANCA-associated diffuse alveolar hemorrhage due to benzylthiouracil
Original Paper
First Online:
Received:
Accepted:
- 76 Downloads
- 7 Citations
Abstract
Benzylthiouracil has been recently observed to be associated with antineutrophil cytoplasmic antibody-positive vasculitis, resulting in crescentic glomerulonephritis. We report an 8-year-old girl treated with benzylthiouracil for Graves’s disease who developed an ANCA-positive vasculitis with pulmonary hemorrhage. She responded to corticosteroids and discontinuation of benzylthiouracil. This represents the first pediatric case of benzylthiouracil-induced diffuse alveolar hemorrhage.
Keywords
Antineutrophil cytoplasmic antibody Vasculitis Diffuse alveolar hemorrhage BenzylthiouracilAbbreviations
- ANCA
Antineutrophil cytoplasmic antibody
- DAH
Diffuse alveolar hemorrhage
References
- 1.Braham A, Houman MH, Rais L, Ben Gborbel I, Lamloum M, Miled M (2004) Benzylthiouracil induced ANCA-positive vasculitis. Presse Med 33(19 Pt 1):1331−1333PubMedCrossRefGoogle Scholar
- 2.Dolman KM, Gans RO, Vervaat TJ, Zevenbergen G, Maingay D, Nikkels RE, Donker AJ, Von dem Borne AE, Goldschmeding R (1993) Vasculitis and antineutrophil cytoplasmic antibodies associated with propylthiouracil therapy. Lancet 342:651−652CrossRefPubMedGoogle Scholar
- 3.Jarraya F, Abid M, Jlidi R, Mkaouar K, Mnif M, Kharrat M, Charfeddine K, Kammoun K, Ben Hmida M, Hachicha J (2003) Myeloperoxidase-antineutrophil cytoplasmic antibody-positive crescentic glomerulonephritis associated with benzylthiouracil therapy: report of the first case. Nephrol Dial Transplant 18:2421−2423CrossRefPubMedGoogle Scholar
- 4.Jiang X, Khurigara G, Rubin RL (1994) Transformation of lupus-inducing drugs to cytotoxic products by activated neutrophils. Science 266:810−813PubMedMathSciNetCrossRefGoogle Scholar
- 5.Kaaroud H, Khiari K, Ben Moussa F, Barbouch S, Boussema E, Ben Maiz H (2002) Une vascularite associant une atteinte renale et pulmonaire au cours d’une maladie de Basedow traitee par le benzylthiouracile. Rev Med Interne 23:857−861PubMedGoogle Scholar
- 6.Krassas GE (2004) Treatment of juvenile Graves’ disease and its ophthalmic complication: the ‘European way’. Eur J Endocrinol 150:407−414CrossRefPubMedGoogle Scholar
- 7.Poomthavorn P, Mahachoklertwattana P, Tapaneya-Olarn W, Chuansumrit A,Chunharas A (2002) Antineutrophic cytoplasmic antibody-positive vasculitisassociated with propylthiouracil therapy: report of 2 children with Grave’sdisease. J Med Assoc Thai 85:S1295–S1301PubMedGoogle Scholar
- 8.Specks U (2001) Diffuse alveolar haemorrhage syndromes. Curr Opin Rheumatol 13:12−17CrossRefPubMedGoogle Scholar
- 9.Tieulie N, Huong du LT, Andreu M, Wechsler B, Mercadal L, Beaufils H, Dierert MC, Piette JC (2002) Glomerulonephrite associee aux ANCA secondaire au benzylthiouracile. Rev Med Interne 23:853−856PubMedCrossRefGoogle Scholar
Copyright information
© Springer-Verlag 2006