ANCA - Associated Vasculitis Case Study
Patient Story: 70 years old male Upon seeing the GP (On 01.05.20 ), the patient presented with persistent cough, rash, and shortness of breath, and feeling unwell. Previous medical history: asthma, nose bleeds, recurrent, nasal congestion, fatigue and rash since October 2019. Patient was referred to a respiratory consultant (as an outpatient) on the 14.05.20 . The patient was admitted to K hospital, with collapsed lung. Then transferred to another hospital as an inpatient on 21.05.20 with rapidly progressive pulmonary renal syndrome. On the 23.05.20 the patient began haemodialysis, given 3 pulses of IV methylprednisolone soon after and started on cyclophosphamide on 27.05.20 . GP Results: Urea (2.5-7.0 mmol/L) Creatinine (60-106 umol/L) EGFR (>60 mL/min/1.73m2) CRP (0-10 mg/L) 10.12.18: 5.4 67 >60 01.05.20 7.1 111 58 ...