ANCA Associated Mononeuritis Multiplex with Overlap in Vasculitic Syndromes OD01-OD03
Dr. Ravi Anadure,
Senior Advisor, Department of Medicine and Neurology, Indian Naval Hospital Ship Asvini, Colaba-400005,
Mumbai, Maharashtra, India.
Mononeuritis multiplex is a common manifestation of many illnesses which includes Hansenís disease and certain types of systemic vasculitis. The Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis (AAV) is a group of rare diseases which show typical characteristic inflammatory cell infiltration and blood vessel wall necrosis. AAV syndromes include Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA) and Eosinophilic Granulomatosis with Polyangiitis (EGPA). We describe a patient who presented with mononeuritis multiplex and had features of overlap between EGPA and MPA. The patient was treated with standard regimen of steroids and pulsed cyclophosphamide and she achieved excellent clinical remission.