Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation
COVID-19 is an ongoing global pandemic that has varied systemic manifestations. A 48-year-old male, with chronic kidney disease stage 5 on chronic haemodialysis and past history of COVID-19 three months ago, presented with urticarial skin rash and abdominal pain of seven days' duration. His imm...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-04-01
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| Series: | Indian Journal of Kidney Diseases |
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| Online Access: | https://journals.lww.com/10.4103/2950-0761.377975 |
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| author | Niharika Mulpuri Shankar Prasad Nagaraju A Ravindra Prabhu Indu R Rao Dushyanth Babu Jasti |
| author_facet | Niharika Mulpuri Shankar Prasad Nagaraju A Ravindra Prabhu Indu R Rao Dushyanth Babu Jasti |
| author_sort | Niharika Mulpuri |
| collection | DOAJ |
| description | COVID-19 is an ongoing global pandemic that has varied systemic manifestations. A 48-year-old male, with chronic kidney disease stage 5 on chronic haemodialysis and past history of COVID-19 three months ago, presented with urticarial skin rash and abdominal pain of seven days' duration. His immune workup ANA, ANCA, and Anti-GBM were negative. Punch biopsy of skin lesions showed immune complex vasculitis with C3, IgA, IgM, and fibrinogen deposition. His repeat throat and nasal swabs for COVID-19 were negative. After two days, he developed right axonal brachial plexopathy and diffuse alveolar hemorrhage. He was managed with intravenous methylprednisolone and five cycles of therapeutic plasma exchange. Thereafter, he was continued on oral prednisone and modified renal dose of oral cyclophosphamide. His regular maintenance hemodialysis sessions were continued. After two months, skin lesions resolved and limb weakness improved. Awareness of rare complications after COVID-19 recovery is essential for early recognition and appropriate management of these patients. |
| format | Article |
| id | doaj-art-d9410b3019c248f6bcbb12acb100a9c4 |
| institution | Kabale University |
| issn | 2950-0761 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Kidney Diseases |
| spelling | doaj-art-d9410b3019c248f6bcbb12acb100a9c42025-08-20T03:25:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Kidney Diseases2950-07612022-04-0112616810.4103/2950-0761.377975Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentationNiharika MulpuriShankar Prasad NagarajuA Ravindra PrabhuIndu R RaoDushyanth Babu JastiCOVID-19 is an ongoing global pandemic that has varied systemic manifestations. A 48-year-old male, with chronic kidney disease stage 5 on chronic haemodialysis and past history of COVID-19 three months ago, presented with urticarial skin rash and abdominal pain of seven days' duration. His immune workup ANA, ANCA, and Anti-GBM were negative. Punch biopsy of skin lesions showed immune complex vasculitis with C3, IgA, IgM, and fibrinogen deposition. His repeat throat and nasal swabs for COVID-19 were negative. After two days, he developed right axonal brachial plexopathy and diffuse alveolar hemorrhage. He was managed with intravenous methylprednisolone and five cycles of therapeutic plasma exchange. Thereafter, he was continued on oral prednisone and modified renal dose of oral cyclophosphamide. His regular maintenance hemodialysis sessions were continued. After two months, skin lesions resolved and limb weakness improved. Awareness of rare complications after COVID-19 recovery is essential for early recognition and appropriate management of these patients.https://journals.lww.com/10.4103/2950-0761.377975covid-19vasculitischronic kidney diseasehaemodialysis |
| spellingShingle | Niharika Mulpuri Shankar Prasad Nagaraju A Ravindra Prabhu Indu R Rao Dushyanth Babu Jasti Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation Indian Journal of Kidney Diseases covid-19 vasculitis chronic kidney disease haemodialysis |
| title | Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation |
| title_full | Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation |
| title_fullStr | Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation |
| title_full_unstemmed | Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation |
| title_short | Systemic vasculitis as a COVID -19 sequela in a patient with end-stage renal disease on chronic haemodialysis – A rare presentation |
| title_sort | systemic vasculitis as a covid 19 sequela in a patient with end stage renal disease on chronic haemodialysis a rare presentation |
| topic | covid-19 vasculitis chronic kidney disease haemodialysis |
| url | https://journals.lww.com/10.4103/2950-0761.377975 |
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