Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties

The clinical picture of the symptomatic phase of antineutrophil cytoplasmic antibody-associated systemic vasculitis (ANCA-SV) can vary widely and be accompanied by joint damage, which complicates the early diagnosis of the disease. The paper presents a case of ANCA-SV with acute kidney injury, the m...

Full description

Saved in:
Bibliographic Details
Main Authors: T. V. Beketova, V. S. Sygyrta, N. V. Chichasova, N. F. Frolova, E. S. Stolyarevich, O. N. Kotenko
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-06-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/832
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850023351760715776
author T. V. Beketova
V. S. Sygyrta
N. V. Chichasova
N. F. Frolova
E. S. Stolyarevich
O. N. Kotenko
author_facet T. V. Beketova
V. S. Sygyrta
N. V. Chichasova
N. F. Frolova
E. S. Stolyarevich
O. N. Kotenko
author_sort T. V. Beketova
collection DOAJ
description The clinical picture of the symptomatic phase of antineutrophil cytoplasmic antibody-associated systemic vasculitis (ANCA-SV) can vary widely and be accompanied by joint damage, which complicates the early diagnosis of the disease. The paper presents a case of ANCA-SV with acute kidney injury, the manifestations of the symptomatic phase of which were confined to joint damage, myalgia, and Raynaud's syndrome, which led to delayed diagnosis at the stage of renal failure requiring hemodialysis (HD). Urgent adequate induction therapy could preserve kidney function, despite 10-day anuria and 5-week HD.The paper discusses the need for a systematic detailed examination of patients with the onset of a joint inflammatory lesion, especially in those with its systemic manifestations, and the inclusion of serum ANCA tests in the standards of diagnosis in early arthritis.
format Article
id doaj-art-efa7fc371c3941cda74b703611a055e7
institution DOAJ
issn 1996-7012
2310-158X
language Russian
publishDate 2018-06-01
publisher IMA-PRESS LLC
record_format Article
series Современная ревматология
spelling doaj-art-efa7fc371c3941cda74b703611a055e72025-08-20T03:01:23ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-06-01122939610.14412/1996-7012-2018-2-93-962099Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficultiesT. V. Beketova0V. S. Sygyrta1N. V. Chichasova2N. F. Frolova3E. S. Stolyarevich4O. N. Kotenko5V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyCity Polyclinic Fifty-Two, Moscow Healthcare DepartmentCity Polyclinic Fifty-Two, Moscow Healthcare DepartmentCity Polyclinic Fifty-Two, Moscow Healthcare DepartmentThe clinical picture of the symptomatic phase of antineutrophil cytoplasmic antibody-associated systemic vasculitis (ANCA-SV) can vary widely and be accompanied by joint damage, which complicates the early diagnosis of the disease. The paper presents a case of ANCA-SV with acute kidney injury, the manifestations of the symptomatic phase of which were confined to joint damage, myalgia, and Raynaud's syndrome, which led to delayed diagnosis at the stage of renal failure requiring hemodialysis (HD). Urgent adequate induction therapy could preserve kidney function, despite 10-day anuria and 5-week HD.The paper discusses the need for a systematic detailed examination of patients with the onset of a joint inflammatory lesion, especially in those with its systemic manifestations, and the inclusion of serum ANCA tests in the standards of diagnosis in early arthritis.https://mrj.ima-press.net/mrj/article/view/832systemic vasculitisantineutrophil cytoplasmic antibodiesmicroscopic polyangiitisgranulomatosis with polyangiitiseosinophilic granulomatosis with polyangiitisrheumatoid arthritisearly arthritis
spellingShingle T. V. Beketova
V. S. Sygyrta
N. V. Chichasova
N. F. Frolova
E. S. Stolyarevich
O. N. Kotenko
Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties
Современная ревматология
systemic vasculitis
antineutrophil cytoplasmic antibodies
microscopic polyangiitis
granulomatosis with polyangiitis
eosinophilic granulomatosis with polyangiitis
rheumatoid arthritis
early arthritis
title Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties
title_full Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties
title_fullStr Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties
title_full_unstemmed Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties
title_short Arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody-associated systemic vasculitis: diagnostic difficulties
title_sort arthritis as a clinical manifestation of antineutrophil cytoplasmic antibody associated systemic vasculitis diagnostic difficulties
topic systemic vasculitis
antineutrophil cytoplasmic antibodies
microscopic polyangiitis
granulomatosis with polyangiitis
eosinophilic granulomatosis with polyangiitis
rheumatoid arthritis
early arthritis
url https://mrj.ima-press.net/mrj/article/view/832
work_keys_str_mv AT tvbeketova arthritisasaclinicalmanifestationofantineutrophilcytoplasmicantibodyassociatedsystemicvasculitisdiagnosticdifficulties
AT vssygyrta arthritisasaclinicalmanifestationofantineutrophilcytoplasmicantibodyassociatedsystemicvasculitisdiagnosticdifficulties
AT nvchichasova arthritisasaclinicalmanifestationofantineutrophilcytoplasmicantibodyassociatedsystemicvasculitisdiagnosticdifficulties
AT nffrolova arthritisasaclinicalmanifestationofantineutrophilcytoplasmicantibodyassociatedsystemicvasculitisdiagnosticdifficulties
AT esstolyarevich arthritisasaclinicalmanifestationofantineutrophilcytoplasmicantibodyassociatedsystemicvasculitisdiagnosticdifficulties
AT onkotenko arthritisasaclinicalmanifestationofantineutrophilcytoplasmicantibodyassociatedsystemicvasculitisdiagnosticdifficulties