“Vasculitis anca positivo: granulomatosis mas poliangeitis”

Abstract

Systemic vasculitis associated with the presence of antineutrophil cytoplasmic antibodies (ANCA) represents a diagnostic challenge due to the wide range of symptoms that it presents. In this case, a case of a 31-year-old female patient presenting with a cough is presented. purulent speculation of two months of evolution, otorrhea and weight loss, with a tentative diagnosis of tuberculosis, without caverns that are evidenced in chest CT, antifungal treatment was initiated for 21 days without improvement, I add bilateral episcleritis, hematuria and proteinuria. A renal biopsy was performed that reported capillary lumen collapse, segmental sclerosis and hypertrophic podocytes. It was diagnosed as granulomatosis-like vasculitis associated with poliangetis. It received three pulses of methylprednisolone in an iv gram, followed by cyclophosphamide one dose every three weeks with significant clinical improvement.