Management Approach for Microscopic Polyangiitis: A Case Report: OAJBS Publishers
Management Approach for Microscopic Polyangiitis: A Case Report by Mohammed Al Azzawi* in Open Access Journal of Biomedical Science (OAJBS) Microscopic polyangiitis is a small vessel necrotizing vasculitis. It usually exhibits its manifestation through inflammation on the kidneys, it also presents with an extrarenal systemic involvement such as the lungs, musculoskeletal systems, central or peripheral nervous system, and skin manifestations. Laboratory markers show an elevation in the inflammatory markers and Myeloperoxidase-Antinuclear Cytoplasmic Antibody. Kidney involvement usually manifests in the form of rapidly progressive pauciimmune glomerulonephritis. The Lung present at the range of fleeting local infiltrates to massive hemorrhage is the setting of diffuse alveolar hemorrhage. Patients generally respond appropriately to induction therapy with high IV pulse-dose prednisolone plus an additional immunosuppressive agent followed with maintenance therapy with an oral immunosuppr...