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Rheumatology Advance Access originally published online on July 9, 2009
Rheumatology 2009 48(9):1173-1174; doi:10.1093/rheumatology/kep193
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Sudden visual loss in a patient with microscopic polyangiitis

Jochen Wacker1, Rene Handschu2, Bernhard Manger1, Georg Schett1 and Jochen Zwerina1

1Department of Internal Medicine 3 and Institute for Clinical Immunology and 2Department of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany

Correspondence to: Jochen Zwerina, Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Krankenhausstrasse 12, 91054 Erlangen, Germany. E-mail: jochen.zwerina@uk-erlangen.de

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SIR, A 51-year-old woman with pulmonary–renal syndrome was admitted to our department. She complained of a dry cough, which had been present for 6 months, with intermittent mild haemoptysis. One day before admission, chest CT scan suggested interstitial lung disease. At admission, blood chemistry revealed highly elevated acute phases parameters (CRP 15.6 mg/dl) and renal failure (creatinine 3.2 mg/dl). Autoantibody profiling revealed positive MPO-ANCA. Urine . . . [Full Text of this Article]


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