Albadr Hamza HusseinKing Fahad Hospital, Saudi Arabia
Title: Anti-Neutrophilic Cytoplasmic Antibody (ANCA) Vasculitis Presented as Pulmonary Hemorrhage in a Positive COVID-19 Patient: A Case Report
Granulomatosis with polyangiitis is a small vessel vasculitis with a wide spectrum of presentation, ranging from limited disease to life-threatening situation such as alveolar hemorrhage. Immunosuppression is the corner stone of the treatment and if left untreated, the death toll increases dramatically. We presented a case of granulomatosis with polyangiitis, presented with alveolar hemorrhage associated with COVID-19 infection. The patient admitted to the intensive care unit, received pulse steroids, plasmapheresis and intravenous immunoglobulin. She was not given further immunosuppression because of the coexisting COVID-19. Up to our knowledge, this is the first reported case of alveolar hemorrhage secondary to granulomatosis with polyangiitis coexisting with COVID-19 infection.
DR Albadr Hamza consultant rheumatology , I am the head of rheumatology department at king Fahad hospital , Madina Saudi Arabia , I am assistant professor at Taibah medical school . I did may training of internal medicine at National Guard hospital Riyadh , Saudi Arabia and subspeciality of rheumatology at unveracity of western Ontario Canada, I had many publication in the failed of rheumatology.