Published in:
01-06-2008 | CE - Letter to the Editor
Microscopic polyangiitis with sexual and reproductive system involvement: first description of a case
Authors:
Massimiliano Rocchietti March, Flavia Del Porto, Maria Proietta, Bruno Laganà, Raffaele D’Amelio, Giuseppe Aliberti
Published in:
Internal and Emergency Medicine
|
Issue 2/2008
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Excerpt
Microscopic polyangiitis (MPA) is a rare systemic vasculitis with an incidence of about 1–3/100,000/year [
1]. MPA is defined as a necrotizing vasculitis, with few or no immune deposits, primarily affecting small vessels including capillaries, venules or arterioles [
2]. MPA mainly affects kidneys and lungs, nevertheless cutaneous vasculitis, musculoskeletal symptoms, gastrointestinal involvement and peripheral neuropathy also occur [
3]. Circulating antineutrophil cytoplasm antibodies (ANCA) are present in about 74.5% of patients with MPA, mainly perinuclear ANCA with specificity for myeloperoxidase (p-ANCA) [
4], more rarely, in about 40% of the cases, cytoplasmic ANCA with specificity to proteinase-3 (c-ANCA) are present [
5]. Depending on the extent of systemic vascular involvement, clinical findings can be quite variable; nevertheless, sexual and reproductive system involvement in patients with MPA has not previously been reported. …