Citation
Md Shah, Anim and Hashim, Uswaton Hasanah and Mohd Aris, Nur Alfalailah and Chai, Peng Ban and Sharif, Sherillia Affah and Peraba, Premila
(2024)
ANCA- associated vasculitis with pulmonary-renal
syndrome in the elderly: a case report and review.
MJM Case Reports Journal, 3 (3).
pp. 163-166.
ISSN 2948-3859
Abstract
We present a case of a 67-year-old Chinese male who presented with acute kidney injury and nephrotic syndrome. The patient subsequently developed pulmonary hemorrhage, and his serum myeloperoxidase and proteinase 3 tests were positive, indicating ANCA-associated vasculitis. Due to the rapid progression of his clinical condition, treatment was initiated with plasma exchange and intravenous immunoglobulin, alongside induction therapy with high-dose glucocorticoids. Renal biopsy was not performed due to multiple challenges. During his two-month hospital stay, the patient required hemodialysis at least twice a week and received standard treatment of care. Despite the aggressive treatment approach, the patient continued to exhibit signs of renal insufficiency, necessitating ongoing supportive care and monitoring.
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Additional Metadata
| Item Type: |
Article
|
| Divisions: |
Faculty of Medicine and Health Science |
| Publisher: |
Medical Journal Of Malaysia |
| Keywords: |
Anca-associated vasculitis; Pulmonary-renal syndrome; Elderly; Case report; Review; Acute kidney injury; Nephrotic syndrome; Pulmonary hemorrhage; Myeloperoxidase; Proteinase 3; Plasma exchange; Intravenous immunoglobulin; Glucocorticoids; Renal biopsy; Hemodialysis. |
| Depositing User: |
MS. HADIZAH NORDIN
|
| Date Deposited: |
19 Feb 2026 00:27 |
| Last Modified: |
19 Feb 2026 00:27 |
| URI: |
http://psasir.upm.edu.my/id/eprint/119933 |
| Statistic Details: |
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