Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis

The most detectable form of pulmonary fibrosis in MPA (microscopic polyangiitis) is UIP (usual interstitial pneumonia), occurring in 48 % of MPA patients with pulmonary fibrosis. In some cases, ILD (interstitial lung disease) is the initial clinical manifestation of MPA (22 % of cases). Here, we des...

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Main Author: Brittany Duchene
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Respiratory Medicine Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S221300712400145X
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author Brittany Duchene
author_facet Brittany Duchene
author_sort Brittany Duchene
collection DOAJ
description The most detectable form of pulmonary fibrosis in MPA (microscopic polyangiitis) is UIP (usual interstitial pneumonia), occurring in 48 % of MPA patients with pulmonary fibrosis. In some cases, ILD (interstitial lung disease) is the initial clinical manifestation of MPA (22 % of cases). Here, we describe a patient diagnosed with IPF (idiopathic pulmonary fibrosis) who later developed pulmonary infiltrates on CT and hemoptysis, found to have diffuse alveolar hemorrhage on bronchoscopy and ultimately was diagnosed with MPA. There are no guidelines recommending routine screening of vasculitis in cases of suspected IPF, which may result in more misdiagnoses of vasculitides.
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spelling doaj-art-8b00a0ca288646c8a6e0736d3b6a15332025-08-20T01:59:38ZengElsevierRespiratory Medicine Case Reports2213-00712024-01-015210212210.1016/j.rmcr.2024.102122Microscopic polyangiitis presenting as idiopathic pulmonary fibrosisBrittany Duchene0Northeastern Vermont Regional Hospital, 1315 Hospital Drive, St. Johnsbury, VT, 05819, USAThe most detectable form of pulmonary fibrosis in MPA (microscopic polyangiitis) is UIP (usual interstitial pneumonia), occurring in 48 % of MPA patients with pulmonary fibrosis. In some cases, ILD (interstitial lung disease) is the initial clinical manifestation of MPA (22 % of cases). Here, we describe a patient diagnosed with IPF (idiopathic pulmonary fibrosis) who later developed pulmonary infiltrates on CT and hemoptysis, found to have diffuse alveolar hemorrhage on bronchoscopy and ultimately was diagnosed with MPA. There are no guidelines recommending routine screening of vasculitis in cases of suspected IPF, which may result in more misdiagnoses of vasculitides.http://www.sciencedirect.com/science/article/pii/S221300712400145XMicroscopic polyangiitisIdiopathic pulmonary fibrosisInterstitial lung diseaseANCA-Associated vasculitisDiffuse alveolar hemorrhage
spellingShingle Brittany Duchene
Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
Respiratory Medicine Case Reports
Microscopic polyangiitis
Idiopathic pulmonary fibrosis
Interstitial lung disease
ANCA-Associated vasculitis
Diffuse alveolar hemorrhage
title Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
title_full Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
title_fullStr Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
title_full_unstemmed Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
title_short Microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
title_sort microscopic polyangiitis presenting as idiopathic pulmonary fibrosis
topic Microscopic polyangiitis
Idiopathic pulmonary fibrosis
Interstitial lung disease
ANCA-Associated vasculitis
Diffuse alveolar hemorrhage
url http://www.sciencedirect.com/science/article/pii/S221300712400145X
work_keys_str_mv AT brittanyduchene microscopicpolyangiitispresentingasidiopathicpulmonaryfibrosis