Microscopic polyangiitis (MPA): clinical features

Evidence-based neurology checklist on microscopic polyangiitis (mpa): clinical features: Pathology This is a systemic ANCA associated vasculitis (AAV) It is predominantly a pulmonary-renal syndrome It affects capillaries, venules, and arterioles It is usually MPO-ANCA positive but it may be…

Pathology

  • This is a systemic ANCA associated vasculitis (AAV)
  • It is predominantly a pulmonary-renal syndrome
  • It affects capillaries, venules, and arterioles
  • It is usually MPO-ANCA positive but it may be PR3-ANCA positive
  • There are no immune complex deposits on immunofluorescence

Possible triggers

Constitutional features

Respiratory features

Renal features

Dermatological features

Neurological features: central

Neurological features: peripheral

Cardiovascular features

Gastrointestinal features

Other features

Differential diagnosis

References

  1. Takahashi K, Hayashi S, Ushiyama O, Sueoka N, Fukuoka M, Nagasawa K. Development of microscopic polyangiitis in patients with chronic airway disease. Lung 2005; 183:273-281.
  2. Chung SA, Seo P. Microscopic polyangiitis. Rheum Dis Clin North Am 2010; 36:545-558.
  3. Eleftheriou D, Katsenos S, Zorbas S, Griveas I, Psathakis K. Pulmonary fibrosis presenting as an early manifestation of microscopic polyangiitis. Monaldi Arch Chest Dis 2012; 77:141-144.
  4. García-Nava M, Mateos-Toledo H, Guevara-Canseco APG, Infante-González CE, Reyes-Nava DA, Estrada-Castro E. Early interstitial lung disease in microscopic polyangiitis: case report and literature review. Reumatol Clin 2018; 14:106-108.
  5. Kallenberg CG. The diagnosis and classification of microscopic polyangiitis. J Autoimmun 2014; 48-49:90-93.
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