Challenging diagnosis of ANCA-associated vasculitis with hemoptysis
https://doi.org/10.51523/2708-6011.2025-22-1-14
Abstract
The article presents a case of diagnosis of eosinophilic granulomatosis with polyangiitis, Churg-Strauss syndrome. The staged course of the disease is being described, attention is being focused on hemoptysis, systemic symptoms, as well as on the expediency of antibodies detection to the cytoplasm of neutrophils (ADCN) in recurrent pneumonia and verifying significance of the biopsy.
Keywords
Supporting agencies: The study was conducted without sponsorship
About the Authors
N. V. Khaletskaya
Gomel State Medical University
Belarus
Belarus
Natallia V. Khaletskaya - Assistant Lecturer at the Department of Internal Medicine No.2 with the course of Advanced Training and Retraining.
Gomel
E. A. Dotsenko
Belarusian State Medical University
Belarus
Belarus
Eduard A. Dotsenko - Doctor of Medical Sciences, Professor, Head of the Department of Propaedeutics of Internal Diseases.
Minsk
R. A. Loginov
Gomel Regional Clinical Pathological Bureau
Belarus
Belarus
Roman A. Loginov – Pathologists.
Gomel
S. V. Goponiako
Gomel State Medical University
Belarus
Belarus
Svetlana V. Goponiako - Senior Lecturer at the Department of Phthisiopulmonology with the course of Advanced Training and Retraining.
Gomel
N. A. Nikulina
Gomel State Medical University
Belarus
Belarus
Natalia A. Nikulina - Candidate of Medical Sciences, Associate Professor at the Department of Internal Medicine No.2 with the course of Advanced Training and Retraining.
Gomel
N. V. Nikalaeva
Gomel State Medical University
Belarus
Belarus
Natalia V. Nikalaeva - Candidate of Medical Sciences, Associate Professor at the Department of Internal Medicine No.2 with the course of Advanced Training and Retraining.
Gomel
References
1. Almaani S, Fussner LA, Brodsky S, Meara AS, Jayne D. ANCA-Associated Vasculitis: An Update. J Clin Med. 2021;10(7):1446. DOI: https://doi.org/10.3390/jcm10071446
2. Hunter RW, Welsh N, Farrah TE, Gallacher PJ, Dhaun N. ANCA associated vasculitis. BMJ. 2020;14:369. DOI: https://doi.org/10.1136/bmj.m1070
3. Watts RA, Hatemi G, Burns JC, Mohammad AJ. Global epidemiology of vasculitis. Nat Rev Rheumatol. 2022; 18: 22-34. DOI: https://doi.org/10.1038/s41584-021-00718-8
4. Mohammad AJ. An update on the epidemiology of ANCA-associated vasculitis. Rheumatology (Oxford). 2020;1:59. DOI: https://doi.org/10.1093/rheumatology/keaa089
5. Grayson PC, Ponte C, Suppiah R, Robson JC, Craven A, Judge A, et al. DCVAS Study Group. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for eosinophilic granulomatosis with polyangiitis. Arthritis Rheumatol. 2022;74(3):393-399. DOI: https://doi.org/10.1002/art.41982
6. Anaev EKh, Kniajeskaia NP. Eosinophilic granulomatosis with polyangiitis: diagnosis and treatment-related issues. Pulmonologiya. 2023; 33 (4): 542-551. (in Russ.). DOI: https://doi.org/10.18093/0869-0189-2022-4118
7. Beketova TV. New ACR/EULAR 2022 classification criteria for ANCA-associated vasculitis. Naucno Practicheskaya Revmatologia. 2023;61(5):531-536. (in Russ.). DOI: https://doi.org/10.47360/1995-4484-2023-531-536
8. Bajrashevskaja AV, Degtjarova ND, Radenska-Lopovok SG. ANCA-associated small-vessel vasculitides. Russian Journal of Archive of Pathology. 2022;84(1):50-58. (in Russ.). DOI: https://doi.org/10.17116/patol20228401150
9. Murkamilov I, Aitbaev K, Raimzhanov Z, Ymankulov D, Yusupova T, Yusupov, F. ANCA-associated vasculitis: The focus is on Eosinophilic Granulomatosis with Polyangiitis (Eosinophilic Vasculitis of Charge-Strauss). Bulletin of Science and Practice. 2024;10(2):203-223. (in Russ.). DOI: https://doi.org/10.33619/2414-2948/99/25
10. Bulanov NM, Kozlovskaja NL, Tao EA, Novikov PI, Moiseev SV. Evidence based treatment of ANCA -associated vasculitis with kidney involvement. Clinical pharmacology and therapy. 2020;29(4):72-84. (in Russ.). DOI: https://doi.org/10.32756/0869-5490-2020-4-72-84
Supplementary files
Review
For citations:
Khaletskaya N.V., Dotsenko E.A., Loginov R.A., Goponiako S.V., Nikulina N.A., Nikalaeva N.V. Challenging diagnosis of ANCA-associated vasculitis with hemoptysis. Health and Ecology Issues. 2025;22(1):112-118. (In Russ.) https://doi.org/10.51523/2708-6011.2025-22-1-14
Views: 48
Email this article 