医学
抗中性粒细胞胞浆抗体
血管炎
内科学
肺
肾小球肾炎
胃肠病学
病理
肾
免疫学
肉芽肿伴多发性血管炎
作者
Samer Mohandes,Anjali A. Satoskar,Lee A. Hebert,Isabelle Ayoub
出处
期刊:Clinical Nephrology
[Dustri-Verlag Dr. Karl Feistle]
日期:2018-12-01
卷期号:90 (6): 431-433
被引量:2
摘要
The etiology of pulmonary renal syndrome can be broadly divided into infectious and autoimmune (predominantly ANCA vasculitis). The importance of timely differentiating between them stems from the deleterious effects of their respective treatment if misdiagnosed. Serology and tissue evaluation by pathology are employed to aid in this, however, in rare cases, this can be difficult. We present a case of infectious endocarditis that presented with pulmonary renal syndrome but had positive ANCA serology and a pauci-immune glomerulonephritis picture on kidney biopsy that posed diagnostic difficulty. Factors most helpful in differentiating between the two conditions are highlighted as well as treatment options. .
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