Korean J Nephrol.  2007 Jul;26(4):495-501.

A Case of Recurrent Pulmonary Hemorrhage in p-ANCA-Related Vasculitis Patients on Hemodialyis

• Kwon EH
• Park YE
• Song SH
• Lee DW
• Lee SB
• Kwak IS

Abstract

ANCA-associated vasculitis is one of the immunologic cause of diffuse alveolar hemorrhage (DAH). We experienced a rare case of recurrent DAH in a 67-year-old man with ANCA-associated vasculitis who had been on maintenance hemodialysis. Two years ago, he presented with renal failure and hemoptysis. Hemoptysis caused by DAH was resolved immediately and hemodialysis was applied because of persistent uremic symptom. On maintenance hemodialysis, three recurrences have happened so far. At present, oral prednisolone and oral cyclophosphamide are being maintained during outpatient follow-up. Our report suggests that the nephrologist must be concerned about the possibility of recurrent aleveolar hemorrhage in ANCA associated renal disease patients and consider immunosuppressive treatment, even though the patient has been on maintenance hemodialysis.

Keyword

Hemoptysis; P-ANCA; Vasculitis; Hemodialysis

MeSH Terms

Aged
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
Antibodies, Antineutrophil Cytoplasmic
Cyclophosphamide
Follow-Up Studies
Hemoptysis
Hemorrhage*
Humans
Outpatients
Prednisolone
Recurrence
Renal Dialysis
Renal Insufficiency
Vasculitis*
Antibodies, Antineutrophil Cytoplasmic
Cyclophosphamide
Prednisolone