Microscopic Polyangiitis : A Case Report

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Woraphot Lueangchiranothai


The author reported a 47-year old Thai man who presented with acute respiratory failure from diffuse alveolar hemorrhage and rapidly progressive glomerulonephritis due to small vessel vasculitis. Treatment in medical intensive care unit included respiratory support by respirator, intraperitoneal dialysis, intravenous methylprednisolone and antibiotic administration. Because of very severely active disease, the patient died 5 hours after starting treatment and carefully monitoring. Laboratory investigation revealed positive serum p-ANCA 1:320. Microscopic polyangiitis was the most likely diagnosis. This report aimed to identify pitfalls in diagnosis and review the literatures of this disease.

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Lueangchiranothai, W. (2022). Microscopic Polyangiitis : A Case Report. Lampang Medical Journal, 30(1), 51–57. Retrieved from https://he01.tci-thaijo.org/index.php/LMJ/article/view/259876
Case Report


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