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Acute respiratory failure as primary manifestation of antineutrophil cytoplasmic antibodies-associated vasculitis

Evdokia Sourla, Vasilis Bagalas, Helias Tsioulis, Asimina Paspala, Sofia Akritidou, Athanasia Pataka, Katalin Fekete, Ioannis Kioumis, Ioannis Stanopoulos, Georgia Pitsiou
  • Evdokia Sourla
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Vasilis Bagalas
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Helias Tsioulis
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Asimina Paspala
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Sofia Akritidou
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Athanasia Pataka
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Katalin Fekete
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Ioannis Kioumis
    Department of Pneumonology, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki,, Greece
  • Ioannis Stanopoulos
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece
  • Georgia Pitsiou
    Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G.H. “G. Papanikolaou”, Thessaloniki, Greece | gpitsiou@yahoo.gr

Abstract

The systemic vasculitides are multifocal diseases characterized by the presence of blood vessel inflammation in multiple organ systems. Their clinical presentation is variable extending from self-limited illness to critical complications including diffuse alveolar hemorrhage and glomerulonephritis. Alveolar hemorrhage is a lifethreatening manifestation of pulmonary vasculitis that can rapidly progress into acute respiratory failure requiring ventilatory support. We present the case of a 74-year-old patient admitted to the Intensive Care Unit with severe hypoxic respiratory failure and diffuse alveolar infiltrates in chest imaging that was later diagnosed as antineutrophil cytoplasmic antibodies-associated vasculitis. The report highlights the importance of differentiate between alveolar hemorrhage and acute respiratory distress syndrome of other etiology because alveolar hemorrhage is reversible with prompt initiation of treatment.

Keywords

respiratory failure, vasculitis, antineutrophil cytoplasmic antibodies, alveolar infiltrates.

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Submitted: 2014-05-11 11:47:00
Published: 2014-07-04 18:38:04
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Copyright (c) 2014 Evdokia Sourla, Vasilis Bagalas, Helias Tsioulis, Asimina Paspala, Sofia Akritidou, Athanasia Pataka, Katalin Fekete, Ioannis Kioumis, Ioannis Stanopoulos, Georgia Pitsiou

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