Microscopic Polyangiitis: an Incidental Finding in a Patient with Stroke

Overview

Journal J Community Hosp Intern Med Perspect

Date 2020 Mar 5

PMID 32128059

Citations 1

Authors

Abubakar Tauseef

Muhammad Sohaib Asghar

Mariam Amir

Maryam Zafar

Ayesha Anum

Haris Alvi

Mustafa Dawood

Uzma Rasheed

Mohammed Akram

Nisar Ahmed

Affiliations

Soon will be listed here.

Abstract

Microscopic polyangiitis (MPA) is a primary systemic vasculitis characterized by inflammation of small-sized vessels associated with the presence of anti-neutrophilic cytoplasmic antibodies. We report a case of a 39-year-old female diagnosed with microscopic polyangiitis as an incidental finding who presented with signs and symptoms of a stroke at a young age. Usually, it presents with fever, malaise, skin rash, weight loss, mononeuritis multiplex, and arthralgia/myalgia. Very rarely, it can involve meninges to cause meningeal vasculitis which can present as a febrile seizure. The most frequent neurological manifestation is peripheral neuropathy. Cerebral infarction or hemorrhage as an isolated finding is very rarely observed in the patient with MPA as was seen in our patient.

Citing Articles

Progressive Small Vessel Disease Burden as a Diagnostic of Central Nervous System-Restricted Microscopic Polyangiitis: A Case Report and Review of the Literature.

Hoshi H, Ikenouchi H, Yamamoto N, Miyamoto T, Endo K Cureus. 2022; 14(10):e30462.

PMID: 36303803 PMC: 9584631. DOI: 10.7759/cureus.30462.

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