AI Article Synopsis
- A 75-year-old man experienced recurrent acute pericarditis and was referred to a cardiologist due to chest radiograph findings, microhematuria, and worsening kidney function.
- Testing revealed a positive result for MPO-ANCA, and biopsies confirmed a diagnosis of microscopic polyangitis with signs of alveolar hemorrhage and crescentic glomerulonephritis.
- The patient was treated with intravenous methylprednisolone followed by oral prednisolone, resulting in improvement of his symptoms; however, he ultimately died from an opportunistic infection 109 days later.
Article Abstract
We report a case of microscopic polyangitis presenting with acute pericarditis. A 75-year-old man, who had recurrent acute pericarditis, was referred by a cardiologist because of bilateral infiltrates in the chest radiograph, microhematuria and progressive renal failure. The test for MPO-ANCA was positive. Transbronchial and renal biopsies were compatible with microscopic polyangitis, showing alveolar hemorrhage and crescentic glomerulonephritis. After 3 days, intravenous methylpredonisolone was given, followed by oral prednisolone 40 mg/day, and the patient's radiographic infiltrates cleared and renal dysfunction improved. However, he died from opportunistic infection 109 days after the onset of treatment.
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