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Critical care case of the month: different name, same disease...or is it?

Keywords: granulomatous polyangitits , diffuse alveolar hemorrhage , granulomatous polyangigits , proteinase 3 antibodies , myeloperoxidase antibodies , corticosteroids , azathioprine , plasma exchange , rituximab , pulmonary vasculitis

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Abstract:

No abstract available. Article truncated at 150 words. History of Present Illness A 50-year-old female who presented with 2-weeks of worsening cough and shortness of breath. She presented to another hospital 2-weeks prior to presentation complaining of cough productive of yellow sputum and was diagnosed with bronchitis and discharged home with a normal chest x-ray. Her symptoms persisted and one day prior to admission she experienced one episode of hemoptysis which prompted her presentation to our emergency department. She denied fever, chills, night sweats, and complained only of dyspnea on exertion. PMH/SH Granulomatous polyangitis (GPA) was diagnosed by renal biopsy in 2004. She subsequent developed end-stage renal disease and has been receiving peritoneal dialysis. She has never required immunosuppresive therapy. There is no history of tobacco use. She has lived in Arizona for many years. She is retired but previously worked as an information technology manager. Physical Exam Vital signs normal except for an O2 saturation of 91% …

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