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Mackay, J. 
ORCID: https://orcid.org/0000-0001-7558-3800
(2011)
Rapidly progressive pulmonary haemorrhage in a case of microscopic polyangiitis.
BMJ Case Reports.
ISSN 1757-790X
Abstract
A 77-year-old gentleman, a holidaymaker in the area, presented with a 2-month history of cough productive of rust-coloured sputum and exertional dyspnoea. His initial chest x-ray showed bibasal interstitial shadowing. He then deteriorated rapidly to type 1 respiratory failure with acute renal failure. A CT chest showed bilateral alveolar haemorrhage. Testing for p-anti-neutrophil cytoplasmic antibody was strongly positive, with an anti-myeloperoxidase antibody titre of 198 units/ml (normal range 0–6 units/ml). A diagnosis of microscopic polyangitis was made. Following treatment with plasma exchange, cyclophosphamide and steroids, he made a good recovery.
| Item Type: | Article |
|---|---|
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Depositing User: | LivePure Connector |
| Date Deposited: | 28 Jan 2020 03:52 |
| Last Modified: | 22 Oct 2022 05:44 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/73793 |
| DOI: | 10.1136/bcr.06.2011.4336 |
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