Contreras CJ, Ramírez RA, Castilleja LJF, Delgado GM

Language: Spanish
References: 4
Page: 177-181
PDF size: 153.62 Kb.

ABSTRACT

Objective: To report a case of diffuse alveolar hemorrhage and microscopic polyarteritis.
Design: Case report.
Setting: ICU of a private hospital, Monterrey, Mexico.
Patient: A 45-yr-old patient with dysnea, cough and pulmonary patchy infiltrates.
Interventions: Bronchoscopy, thoracoscopy, pulmonary biopsies, chest tube insertion, assisted mechanical ventilation and use of plasmapheresis, cyclophosphamide and steroids.
Results: Positive ANCAs (c, p), diffuse alveolar hemorrhage, vasculitis of small vessels and capillaries of the lungs was reported. The course of the illness was satisfactory and the patient was discharged to home.
Conclusion: An inusual case of polyarteritis was diagnosed on the basis of positive ANCAs and hystological study of lungs.

REFERENCES

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3. Nachman PH. Treatment response and relapse in antineutrophil cytoplasmic autoantibody-associated microscopic polyangiitis and glomerulonephritis. J Am Soc Nephrol 1996; 7(1): 33-9.

4. Nowack R. Mycophenolate mofetil for maintenance therapy of Wegener’s granulomatosis and microscopic polyangiitis: a pilot study in 11 patients with renal involvement. J Am Soc Nephrol 1999; 10(9): 1965-71.