Microscopic Polyangiitis

Rheumatology

Overview

Definition

Necrotizing vasculitis of small vessels.

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Autoimmune (p-ANCA/MPO-ANCA).

Clinical Symptoms

  • Palpable purpura
  • hemoptysis
  • hematuria.

Clinical Approach

Diagnosis

  • Renal biopsy (pauci-immune crescentic GN).

Management

  • Corticosteroids
  • Cyclophosphamide
  • Rituximab.

Complications

  • Alveolar hemorrhage
  • Renal failure.