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- Shinichiro Asakawa, Shigeyuki Arai, Mika Kawagoe, Chiaki Ohata, Wataru Ono, Hiroshi Murata, Yoshifuru Tamura, Shunya Uchida, Shigeru Shibata, and Yoshihide Fujigaki.
- Department of Internal Medicine, Teikyo University School of Medicine, Japan.
- Intern. Med. 2022 May 1; 61 (9): 1423-1431.
AbstractA young woman with microscopic polyangiitis (MPA) requiring hemodialysis showed repeated posterior reversible encephalopathy syndrome (PRES) with spatiotemporal multiple lesions over a period of two months. The first PRES episode with confusion and the second PRES episode with vertigo and nausea were caused by MPA, hypertension and renal failure. These symptoms were improved by the reinforcement of MPA treatment and blood pressure management. The third PRES episode with nausea, headache, seizure and visual changes was induced by rituximab infusion and hypertension. The PRES was improved with blood pressure and convulsant management. These conditions are challenging to diagnose and treat.
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