When ANCA Doesn't Play by the Rules: Mixed Glomerulonephritis in Rheumatoid Arthritis (KIDNEY WEEK 2026) - Oct 2, 2026 - Abstract #PUB156; "Case Description 54-year-old woman with seropositive RA (off methotrexate 2 months) presented with hemoptysis, fatigue, weight loss, and dark urine...Pulse methylprednisolone followed by prednisone 60 mg/day, and rituximab were initiated..."Pauci-immune" does not necessarily mean "completely immune deposit–negative." Negative HIV testing and biopsy context support secondary collapsing injury related to inflammatory vasculitic disease. Prompt induction with corticosteroids and rituximab can stabilize renal function and resolve pulmonary involvement even in diagnostically complex presentations."
ANCA Vasculitis • Glomerulonephritis • Hepatology • Human Immunodeficiency Virus • Immunology • Infectious Disease • Inflammation • Inflammatory Arthritis • Lupus • Lupus Nephritis • Nephrology • Renal Disease • Rheumatoid Arthritis • Rheumatology • Vasculitis
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Harshil Nitinkumar Patel; Bhavika Vijay Agrawal; Rabia Naseem; Tulsi Bhatt
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