Session Type
Meeting
Search Results for ANCA-associated vasculitis
Abstract Number: 347
SHM Converge 2021
Case Presentation: A 72-year-old female never-smoker was admitted for progressive dyspnea, pleuritic chest pain, and non-productive cough after failing outpatient treatment for presumed community-acquired pneumonia based on chest x-ray findings. On arrival, she was afebrile, hemodynamically stable, and breathing comfortably on room air. Physical exam revealed pulmonary crackles and a clean-based ulcer on the lateral […]
Abstract Number: 470
SHM Converge 2023
Case Presentation: A 79-year-old woman with a past medical history of uncontrolled hypertension, migraine, and chronic kidney disease stage 3 presented with one week of poor oral intake, nausea, vomiting, vague abdominal pain, and chronic nonproductive cough. Physical exam revealed poor skin turgor, and lungs with crackles bilaterally. Laboratory studies showed Creatinine of 5.31 mg/dl […]
Abstract Number: 486
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Introduction: Hydralazine is an adjunctive antihypertensive medication that is associated with antineutrophil cytoplasmic antibody (ANCA) – associated vasculitis. Kidney involvement usually comprises a pauci-immune, necrotizing glomerulonephritis with crescents. We describe a rare case of hydralazine induced ANCA positive vasculitis with acute tubulointerstitial nephritis and without glomerular involvement. Case Report: A 74 year old […]
Abstract Number: 721
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 59 year-old female with past medical history of Hashimoto’s thyrotoxicosis was admitted because of fatigue, myalgia, acute renal injury with hematuria and proteinuria, positive p-ANCA, positive stool guaiac test, and elevated inflammatory markers. She also had a head CT and MRI done for a new onset of left foot numbness and both […]
Abstract Number: 746
SHM Converge 2023
Case Presentation: An 82-year-old female with diastolic heart failure presented with one-month worsening dyspnea on exertion and a week of scant hemoptysis and fatigue. She denied tuberculosis risk factors, night sweats, fevers, or skin, joint, or urinary changes. She was fully vaccinated against COVID-19. Her medications included aspirin and hydralazine. Her past medical, surgical, and […]
Abstract Number: 896
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 72-year-old Caucasian woman with PMH of cervical spinal stenosis presented with one-month history of worsening generalized weakness and soreness in all her extremities. Three months prior she had complained of persistent headaches for which she took ibuprofen with limited relief. Suspected of having GCA based on ESR 75 mm/hr with no biopsy at […]
Abstract Number: 954
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. […]
Abstract Number: P34
SHM Converge 2022
Case Presentation: 49-year-old male patient with history of hypertension was sent by his nephrologist to the ER for unexplained worsening renal function and likely renal biopsy. Vital signs were stable, exam was unremarkable, however BUN was 85 mg/dL with creatinine of 10.1 mg/dL (baseline of 1.5 mg/dL). 24-hour urine protein excretion was 5.2 grams. The […]