Open AccessANCA Associated Mononeuritis Multiplex with Overlap in Vasculitic Syndromes
Author(s) -
Ravi Anadure,
Coimbatore Narayanan,
Govindraj Varadraj,
Bevinahalli N Nandeesh
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/22252.9149
Subject(s) - mononeuritis multiplex , medicine , granulomatosis with polyangiitis , microscopic polyangiitis , eosinophilic , vasculitis , pathology , anti neutrophil cytoplasmic antibody , cyclophosphamide , dermatology , disease , chemotherapy
Mononeuritis multiplex is a common manifestation of many illnesses which includes Hansen's disease and certain types of systemic vasculitis. The Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis (AAV) is a group of rare diseases which show typical characteristic inflammatory cell infiltration and blood vessel wall necrosis. AAV syndromes include Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA) and Eosinophilic Granulomatosis with Polyangiitis (EGPA). We describe a patient who presented with mononeuritis multiplex and had features of overlap between EGPA and MPA. The patient was treated with standard regimen of steroids and pulsed cyclophosphamide and she achieved excellent clinical remission.