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Microscopic Polyangiitis with Pulmonary-renal Involvement in a Patient with Polyarticular Juvenile Idiopathic
Mavidi S Kumar1, Sumantro Mondal1, Geetabali Sircar1
1Department of Clinical Immunology and Rheumatology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Abstract:
The association of polyarticular juvenile idiopathic arthritis (p-JIA) and microscopic polyangiitis (MPA) is extremely rare. Very few case reports described the coexistence of these two diseases to date. Here we report a 26-year-old female, a diagnosed patient of rheumatoid factor positive p-JIA for 15 years who developed MPA with renal and pulmonary involvement at the age of 26 years. She was successfully treated with intravenous corticosteroid and injection rituximab. This case report is unique as an association between MPA and p-JIA is very rare.
Insights
The rare co-occurrence of polyarticular juvenile idiopathic arthritis (p-JIA) and microscopic polyangiitis (MPA) is presented in a 26-year-old female. Successful treatment involved corticosteroids and rituximab for this unique case.
Area of Science:
- Rheumatology
- Immunology
- Internal Medicine
Background:
- Polyarticular juvenile idiopathic arthritis (p-JIA) is a chronic autoimmune condition.
- Microscopic polyangiitis (MPA) is a rare systemic vasculitis.
Observation:
- A 26-year-old female with a 15-year history of rheumatoid factor-positive p-JIA developed MPA.
- The patient presented with MPA involving renal and pulmonary systems.
Findings:
- This case highlights the extremely rare association between p-JIA and MPA.
- Successful treatment was achieved using intravenous corticosteroids and rituximab.
Implications:
- This report expands understanding of rare autoimmune disease comorbidities.
- It underscores the importance of considering MPA in p-JIA patients with new organ-specific symptoms.
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