Journal
CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 13, Issue 1, Pages -Publisher
SPRINGERNATURE
DOI: 10.7759/cureus.12485
Keywords
scleroderma; scleroderma renal crisis; anca-associated vasculitis; myeloperoxidase (mpo); kidney injury; covid-19
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AAV, associated with ANCA, is rare in patients with SSc and can lead to kidney failure. Crescentic GN is uncommon in COVID-19 cases, while acute tubular injury is the most common renal pathology lesion in these patients.
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a rare occurrence in systemic sclerosis (SSc) patients. AAV is an inflammatory disease that can lead to kidney failure due to the infiltration of mononuclear cells and the destruction of blood vessels. Also, crescentic glomerulonephritis (GN) has rarely been reported with coronavirus disease 2019 (COVID-19) and acute tubular injury is the most common renal pathology lesion in these patients. We present a rare case of a 46-year-old woman with SSc with new onset of renal failure after a recent diagnosis of COVID-19. Her serology was positive for p-ANCA and myeloperoxidase antibodies. Kidney biopsy was done and showed crescentic GN. We suggest during this pandemic, patients with an immunological disorder that are infected with COVID-19 be closely monitored for any organ involvement.
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