Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA

ANCA (anti-neutrophil cytoplasmic antibody) vasculitides are systemic autoimmune diseases in which anti-neutrophilic cytoplasmic antibodies activate primed neutrophils, thereby generating an inflammatory cascade resulting in the damage of small sized blood vessels in various organs of the body, incl...

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Main Authors: Amaresh Vanga, Amna Z. Rana, Jolanta Kowalewska, Harlan Rust
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2019/4983139
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author Amaresh Vanga
Amna Z. Rana
Jolanta Kowalewska
Harlan Rust
author_facet Amaresh Vanga
Amna Z. Rana
Jolanta Kowalewska
Harlan Rust
author_sort Amaresh Vanga
collection DOAJ
description ANCA (anti-neutrophil cytoplasmic antibody) vasculitides are systemic autoimmune diseases in which anti-neutrophilic cytoplasmic antibodies activate primed neutrophils, thereby generating an inflammatory cascade resulting in the damage of small sized blood vessels in various organs of the body, including the heart. Pleuropericardial involvement is underrecognized as a complication of ANCA vasculitis and is highlighted in this case report of a 51-year-old male who presented with an initial symptomatic presentation of pleuropericardial effusion progressing to pericardial tamponade in the setting of a later renal biopsy proven pauci-immune crescentic glomerulonephritis with high ANA titres along with positive cANCA (cytoplasmic ANCA) and PR3 (proteinase 3) antibodies. He was found to have acute renal failure which progressively got better with cyclophosphamide.
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institution Kabale University
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series Case Reports in Nephrology
spelling doaj-art-af23357fc8bb4c27bccc8aa7188a35f82025-02-03T05:58:13ZengWileyCase Reports in Nephrology2090-66412090-665X2019-01-01201910.1155/2019/49831394983139Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANAAmaresh Vanga0Amna Z. Rana1Jolanta Kowalewska2Harlan Rust3Nephrology, Eastern Virginia Medical School, 855 W Brambelton Ave, Norfolk, VA 23510, USAEastern Virginia Medical School, Norfolk, VA, USAPathology, Eastern Virginia Medical School, 855 W Brambelton Ave, Norfolk, VA 23510, USANephrology, Eastern Virginia Medical School, 855 W Brambelton Ave, Norfolk, VA 23510, USAANCA (anti-neutrophil cytoplasmic antibody) vasculitides are systemic autoimmune diseases in which anti-neutrophilic cytoplasmic antibodies activate primed neutrophils, thereby generating an inflammatory cascade resulting in the damage of small sized blood vessels in various organs of the body, including the heart. Pleuropericardial involvement is underrecognized as a complication of ANCA vasculitis and is highlighted in this case report of a 51-year-old male who presented with an initial symptomatic presentation of pleuropericardial effusion progressing to pericardial tamponade in the setting of a later renal biopsy proven pauci-immune crescentic glomerulonephritis with high ANA titres along with positive cANCA (cytoplasmic ANCA) and PR3 (proteinase 3) antibodies. He was found to have acute renal failure which progressively got better with cyclophosphamide.http://dx.doi.org/10.1155/2019/4983139
spellingShingle Amaresh Vanga
Amna Z. Rana
Jolanta Kowalewska
Harlan Rust
Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA
Case Reports in Nephrology
title Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA
title_full Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA
title_fullStr Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA
title_full_unstemmed Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA
title_short Pericardial Tamponade: An Uncommon Clinical Presentation in cANCA Related Vasculitis and Glomerulonephritis in Association with Very High Titres of ANA
title_sort pericardial tamponade an uncommon clinical presentation in canca related vasculitis and glomerulonephritis in association with very high titres of ana
url http://dx.doi.org/10.1155/2019/4983139
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AT jolantakowalewska pericardialtamponadeanuncommonclinicalpresentationincancarelatedvasculitisandglomerulonephritisinassociationwithveryhightitresofana
AT harlanrust pericardialtamponadeanuncommonclinicalpresentationincancarelatedvasculitisandglomerulonephritisinassociationwithveryhightitresofana