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- Qurratulain Qurratulain, Azeem Ahmed, and Quentin Jones.
- Great Western Hospital, Swindon, UK q.qurratulain@nhs.net.
- Clin Med (Lond). 2021 Jan 1; 21 (1): 798079-80.
AbstractWe present the case of a 71-year-old woman with bilateral pneumonia who continued to deteriorate despite multiple courses of antibiotics. When dexamethasone was added to cover the possibility of COVID-19 pneumonia, she rapidly improved. Subsequently, she was found to have a strongly positive PR3 anti-nuclear cytoplasmic antibody (ANCA) and clinical features consistent with granulomatosis with polyangiitis (GPA) with upper respiratory tract and renal involvement. The case highlights how the COVID-19 pandemic can create new challenges in the diagnosis of GPA.© Royal College of Physicians 2021. All rights reserved.
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