Abstract | BACKGROUND: Patients with proteinase 3-antineutrophil cytoplasmic antibody associated vasculitis (AAV) experience different manifestations at the initial onset and relapse. However, such cases of different initial and relapse manifestations have not been reported in myeloperoxidase (MPO)-AAV patients. CASE SUMMARY: CONCLUSION: We have reported a rare case of MPO-AAV who initially presented with headache and kidney involvement. However, relapse presented with only arthralgia, which was completely different from the initial manifestations. This case suggests that AAV relapse should be highly suspected in MPO-AAV patients after remission, when clinical manifestations at relapse are different from those at onset. Prednisone and MMF may provide a good choice for refractory arthralgia during relapse in MPO-AAV patients.
|
Authors | Xue Zhang, Guang-Ben Zhao, Long-Kai Li, Wei-Dong Wang, Hong-Li Lin, Ning Yang |
Journal | World journal of clinical cases
(World J Clin Cases)
Vol. 11
Issue 21
Pg. 5167-5172
(Jul 26 2023)
ISSN: 2307-8960 [Print] United States |
PMID | 37583854
(Publication Type: Case Reports)
|
Copyright | ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. |