MPO-ANCA-positive Microscopic Polyangiitis Following COVID-19 Infection

Intern Med. 2022 Feb 15;61(4):567-570. doi: 10.2169/internalmedicine.8615-21. Epub 2021 Nov 27.

Abstract

Antineutrophil cytoplasmic antibody-associated vasculitis (AAV) is a systemic disease that causes vasculitis in various organs. Although the cause of the onset is unknown, infection has been reported to be a causative factor. The subsequent cytokine storm triggered by the immune response against SARS-CoV-2 infection has been reported to lead to symptoms being more severe. We herein report our experience with the onset of AAV following COVID-19 infection. We also report the course of anti-SARS-CoV-2 serum antibody titers following induction therapy, which suggests that vaccination and education concerning standard precautions are necessary in patients who require immunosuppressive therapy, even after COVID-19 infection.

Keywords: COVID-19; MPO-ANCA; SARS-CoV-2; rapidly progressive glomerulonephritis; vasculitis.

MeSH terms

  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis* / diagnosis
  • Antibodies, Antineutrophil Cytoplasmic
  • COVID-19*
  • Humans
  • Microscopic Polyangiitis* / complications
  • Microscopic Polyangiitis* / diagnosis
  • Peroxidase
  • SARS-CoV-2

Substances

  • Antibodies, Antineutrophil Cytoplasmic
  • Peroxidase