[Recurrence of p-ANCA positive vasculitis with lung hemorrhage in a patient on hemodialysis].
Relapses of p-ANCA vasculitis during chronic dialysis treatment are infrequent. We report a patient with a pulmonary-renal syndrome and p-ANCA vasculitis who relapsed one year after starting hemodialysis treatment. Treatment with steroids and cyclosphosphamide successfully controlled the relapse, though cyclophosphamide had to be discontinued because of leucopenia. Clinical features of renal vasculitis, relapse after dialysis, the usefulness of ANCA titles as possible predictors and therapeutic options are discussed.
Merino
J L
JL
Servicio de Nefrología, Hospital Universitario Ramón y Cajal, Madrid. jmerino.hrc@salud.madrid.org
Galeano
C
C
Martins
J
J
Pascual
J
J
Teruel
J L
JL
Ortuño
J
J
D000368:Aged; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000209:etiology*; D012008:Recurrence; D006435:Renal Dialysis; D014657:Vasculitis / Q000097:blood* / Q000150:complications*
D019268:Antibodies, Antineutrophil Cytoplasmic