A unique case of indolent microscopic polyangiitis in an elderly gentleman: a case report and brief review.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Archive of clinical cases Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI:10.22551/2023.41.1004.10276
Clement Tan, Jithmy Perara, Pranav Kumar
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Abstract

Antineutrophil cytoplasmic autoantibody associated vasculitides has 3 different types: Granulomatosis with polyangiitis, eosinophilic granulomatosis and polyangiitis and microscopic polyangiitis. These vasculitides manifest differently based on which area of small and medium size vessels in our bodies that it affects. In this case report, we discuss a unique case of microscopic polyangiitis diagnosed in a 75-year-old male who was relatively asymptomatic i.e. indolent, apart from nodules present in the lung with the use of the diagnostic criteria outlined by 2022 American College of Rheumatology and European Alliance of Associations for Rheumatology. In addition, we reviewed briefly about vasculitis, its epidemiology and the workup of microscopic polyangiitis.

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一名老年男性患惰性显微镜下多血管炎的独特病例:病例报告和简要回顾。
抗中性粒细胞胞浆自身抗体相关性血管炎有三种不同类型:肉芽肿伴多血管炎、嗜酸性肉芽肿和多血管炎以及显微镜下多血管炎。这些血管性疾病根据其影响人体中小血管的部位不同而表现各异。在本病例报告中,我们讨论了一例独特的显微镜下多血管炎病例,患者是一名 75 岁的男性,根据 2022 年美国风湿病学会和欧洲风湿病学协会联盟制定的诊断标准,该患者除了肺部出现结节外,并无其他症状,即症状不明显。此外,我们还简要回顾了血管炎、其流行病学和显微镜下多血管炎的检查方法。
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