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VOLUME 63 , ISSUE 2 ( April-June, 2021 ) > List of Articles

CASE REPORT

An Unusual Presentation of Microscopic Polyangiitis as Massive Haemoptysis

Ashok Kumar Singh, Shikha Sachan, Aditya N. Shukla, Anjali Tiwari

Keywords : Anti-neutrophil cytoplasmic antibodies, Microscopic polyangiitis, Thick-walled cavitation, Rapidly progressive necrotising glomerulonephriti

Citation Information : Singh AK, Sachan S, Shukla AN, Tiwari A. An Unusual Presentation of Microscopic Polyangiitis as Massive Haemoptysis. Indian J Chest Dis Allied Sci 2021; 63 (2):105-107.

DOI: 10.5005/ijcdas-63-2-105

License: NA

Published Online: 18-06-2021

Copyright Statement:  NA


Abstract

Microscopic polyangiitis (MPA) is anti-neutrophil cytoplasmic antibodies (ANCA)-related vasculitis affecting mainly small vessels of lung and kidney. MPA has a varied presentation with a wide variety of multi-systemic symptoms. If this syndrome is not recognised early; it can lead to a lethal outcome. It may mimic tuberculosis (TB) that may lead to problems in the early diagnosis in resource-limited countries, like India, where TB is endemic. We report a case of a female patient who reported to us with massive haemoptysis due to unilateral thick-walled cavitation in the upper lobe, mimicking TB but eventually turned out to be a case of MPA.

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