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Microscopic Polyangitis (MPA)

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    • In the past it was considered a variant of PAN. MPA is now recognized as a separate entity.

    • Differences from PAN

    It can cause glomerulonephritis.

    o It can cause pulmonary capillaritis (alveolar hemorrhage).

    it is ANCA ( + ).

    Clinical Findings

    • MPA is similar to granulomatous polyangiitis (GPA) in terms of lung involvement (pulmonary capillaritis) and kidney involvement (crescentic glomerulonephritis). However, unlike GPA;

    o It is not expected to involve the upper respiratory tract.

    o Nodular - cavitary lesions are not seen in the lung.

    o There is no granuloma in the biopsy taken from the lesion.

    o The majority of patients are pANCA positive.

    Treatment

    • It is basically like the treatment of granulomatous polyangiitis.

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