@article{oai:nagasaki-u.repo.nii.ac.jp:00004894, author = {Fukui, Shoichi and Iwamoto, Naoki and Tsuji, Sosuke and Umeda, Masataka and Nishino, Ayako and Nakashima, Yoshikazu and Suzuki, Takahisa and Horai, Yoshiro and Koga, Tomohiro and Kawashiri, Shin-ya and Ichinose, Kunihiro and Hirai, Yasuko and Tamai, Mami and Nakamura, Hideki and Origuchi, Tomoki and Kawakami, Atsushi}, issue = {20}, journal = {Internal Medicine}, month = {Oct}, note = {A 69-year-old man was diagnosed with granulomatosis with polyangiitis (GPA) based on the presence of skin granuloma, refractory otitis media, renal insufficiency and myeloperoxidase-antineutrophil cytoplasmic antibody positivity and slight lung opacity. He was treated with high-dose corticosteroid therapy. Despite the initial improvement of his renal function and a decrease in his C-reactive protein level, he suffered from an alveolar hemorrhage one week after the start of corticosteroid therapy. An anti-dsDNA antibody test was positive and the patient had hypocomplementemia. Elements of both GPA and systemic lupus erythematosus were thought to have affected his clinical course., Internal Medicine, 54(20), pp.2681-2686; 2015}, pages = {2681--2686}, title = {Diffuse Alveolar Hemorrhage Emerging One Week after Starting High-dose Corticosteroid Therapy for Granulomatosis with Polyangiitis (GPA) with Systemic Lupus Erythematosus (SLE)}, volume = {54}, year = {2015} }