Hospital Medicine, Miriam Hospital, Providence, Rhode Island, USA
Internal Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
BMJ Case Rep. 2021 Mar 18;14(3):e242142. doi: 10.1136/bcr-2021-242142.
COVID-19 and granulomatosis with polyangiitis share many clinical and radiological features, making it challenging for clinicians to distinguish between the two. In this case report, we describe a patient who was diagnosed with COVID-19 in October 2020. One month later, she presented with persistent fatigue, shortness of breath and anaemia with worsening renal functions, found to have elevated antineutrophil cytoplasmic antibodies and antiproteinase 3 antibodies, and diagnosed with granulomatosis with polyangiitis.
COVID-19 和肉芽肿性多血管炎有许多相似的临床和影像学特征，这使得临床医生难以区分两者。本病例报告描述了一位 2020 年 10 月确诊 COVID-19 的患者。一个月后，她出现持续性疲劳、呼吸急促和贫血，肾功能恶化，检查发现抗中性粒细胞胞浆抗体和抗蛋白酶 3 抗体升高，诊断为肉芽肿性多血管炎。
