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  3. Vol. 9 No. 3 (2021): Summer
  4. Case Reports

Vol. 9 No. 3 (2021)

September 2021

Wegener's Granulomatosis Vasculitis and Granuloma: A Case Report Wegener's Granulomatosis

  • Mona Nasiri
  • Anoush Azarfar
  • Yalda Ravanshad
  • Malihe Saberafsharian
  • Sepideh Seyedkaboli

Journal of Pediatric Nephrology, Vol. 9 No. 3 (2021), 4 September 2021 , Page 1-3
https://doi.org/10.22037/jpn.v9i3.34117 Published: 2021-09-04

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Abstract

A 13-year-old girl was admitted to our hospital because of fatigue, oliguria, and edema of lower extremities. Her laboratory workup showed an acute renal failure (BUN= 225 mg/dl, Creatinine= 13.25 mg/dl). She also had a massive proteinuria.

A renal biopsy showed cellular crescentic glomerulonephritis and positive C-ANCA. The serum Creatinine level decreased after treatment with high-dose methylprednisolone, rituximab and plasmapheresis. She did not require dialysis.

This is a report of a rare case of GPA presenting with 100% cellular crescentic glomerulonephritis.

Keywords:
  • Pauci-Immune Necrotizing Glomerulonephritis
  • Crescentic Glomerulonephritis
  • Wegener's Granulomatosis
  • Child
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How to Cite

1.
Nasiri M, Azarfar A, Ravanshad Y, Saberafsharian M, Seyedkaboli S. Wegener’s Granulomatosis Vasculitis and Granuloma: A Case Report: Wegener’s Granulomatosis . J Ped Nephrol [Internet]. 2021 Sep. 4 [cited 2026 Jul. 8];9(3):1-3. Available from: https://journals.sbmu.ac.ir/jpn/article/view/34117
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References

Woodworth TG, Abuelo JG, Austin HA 3rd, Esparza A. Severe glomerulonephritis with late emergence of classic Wegener's granulomatosis. Report of 4 cases and review of the literature. Medicine (Baltimore) 1987; 66:181.

Seo P, Stone JH. The antineutrophil cytoplasmic antibody-associated vasculitides. Am J Med 2004; 117:39.

Sethi S, Zand L, De Vriese AS, et al. Complement activation in pauci-immune necrotizing and crescentic glomerulonephritis: results of a proteomic analysis. Nephrol Dial Transplant 2017; 32:i139.

Diagnosis and classification of granulomatosis with polyangiitis (aka Wegener’s granulomatosis) Latulo PMK, D'Cruz DP. J Autoimmun. 2014;48:94–98

Couser WG. Rapidly progressive glomerulonephritis: classification, pathogenetic mechanisms, and therapy. Am J Kidney Dis 1988; 11:449.

Baldwin DS, Neugarten J, Feiner HD, et al. The existence of a protracted course in crescentic glomerulonephritis. Kidney Int 1987; 31:790.

Bruns FJ, Adler S, Fraley DS, Segel DP. Long-term follow-up of aggressively treated idiopathic rapidly progressive glomerulonephritis. Am J Med 1989; 86:400.

Stone JH, Merkel PA, Spiera R, et al. Rituximab versus cyclophosphamide for ANCA-associated vasculitis. N Engl J Med 2010; 363:221.

Jones RB, Tervaert JW, Hauser T, et al. Rituximab versus cyclophosphamide in ANCA-associated renal vasculitis. N Engl J Med 2010; 363:211.

Specks U, Merkel PA, Seo P, et al. Efficacy of remission-induction regimens for ANCA-associated vasculitis. N Engl J Med 2013; 369:417.

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Online ISSN (e-ISSN): 2345-3176                                                                  

The "Journal of Pediatric Nephrology" is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. 

 

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