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Limited Antineutrophil Cytoplasmic Antibodies (ANCA)-Negative Granulomatosis With Polyangiitis: Successful Response to Rituximab

dc.contributor.authorAndrade, MM
dc.contributor.authorFernandes, M
dc.contributor.authorFreire, S
dc.contributor.authorCruz, D
dc.date.accessioned2023-09-13T21:34:39Z
dc.date.available2023-09-13T21:34:39Z
dc.date.issued2023
dc.description.abstractGranulomatosis with polyangiitis (GPA), a systemic vasculitis, is commonly characterized by the presence of antineutrophil cytoplasmic antibodies (ANCA). However, a subset of patients with limited disease may exhibit ANCA negativity. In this article, we report the case of a 40-year-old female diagnosed with GPA with intolerance to methotrexate titration and glucocorticoid therapy, leading to the initiation of rituximab treatment. Subsequently, the patient exhibited sustained clinical, laboratory, and radiological improvement. The identification of limited GPA has important therapeutic implications as the effectiveness of the medical treatment in ANCA-negative GPA may differ. Rituximab has emerged as an optimal treatment, irrespective of ANCA status, offering prolonged responses and a favorable tolerance profile in these patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCureus . 2023 Jul 13;15(7):e41826.pt_PT
dc.identifier.doi10.7759/cureus.41826pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/46530
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectGranulomatose com Poliangiitept_PT
dc.subjectRituximabpt_PT
dc.subjectGranulomatosis with Polyangiitispt_PT
dc.titleLimited Antineutrophil Cytoplasmic Antibodies (ANCA)-Negative Granulomatosis With Polyangiitis: Successful Response to Rituximabpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleCureuspt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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