The Open General & Internal Medicine Journal

2009, 3 : 1-3
Published online 2009 January 15. DOI: 10.2174/1874076600903010001
Publisher ID: TOGMJ-3-1

Chance Finding of Proteinuria Leads to the Diagnosis of ANCA Associated Vasculitis

Hiroshi Okamoto , Tadashi Sakurai , Mariko Kitahama , Yumi Koseki , Chihiro Terai and Hisashi Yamanaka
Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku, Tokyo 162-0054, Japan;.

ABSTRACT

Microscopic polyangiitis (MPA) was recognised with a high early mortality rate and the renal involvement was characterised by segmental necrotizing glomerulonephritis with high positivity of antineutrophil cytoplasmic antibody (ANCA) and a broad spectrum of signs and symptoms including fever and malaise. We reported here a woman with ANCA associated with MPA diagnosed by a chance finding of proteinuria. To the best of our knowledge, early diagnosis of this disorder only by the presence of proteinuria has not been reported previously in the English literature