Monday, September 10, 2007
Follow-up to pulmonary infiltrates
This is the case below with worsening infiltrates. She had diffuse alveolar hemorrhage and we checked an ANCA that was + at 1:640. She was started on steroids and Cytoxan but has developed hematuria and worsening renal failure. Her pulmonary hemorrhage is much improved but her kidneys continue to worsen.
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What is your opinion on the role of plasmapheresis in patient's with severe DAH and renal failure from WG. There is scant literature to support (or refute) it, but I've been posed with that question several times recently...
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