Title: |
The Utility of Bronchoscopy in Hydralazine-Induced ANCA-Associated Vasculitis |
Authors: |
Atulya Aman Khosla, Hollie Saunders, Scott Helgeson, Hiroshi Hikida, Nabeel Aslam, Fadi Salem, Sam Albadri, Hassan Baig |
Source: |
Case Reports in Pulmonology, Vol 2023 (2023) |
Publisher Information: |
Hindawi Limited, 2023. |
Publication Year: |
2023 |
Collection: |
LCC:Diseases of the respiratory system |
Subject Terms: |
Diseases of the respiratory system, RC705-779 |
More Details: |
Hydralazine is a vasodilator used for the management of hypertension, heart failure, and hypertensive emergencies in pregnancy. It has been implicated in the causation of drug-induced lupus erythematosus (DLE) and rarely with ANCA-associated vasculitis (AAV), which may present as a pulmonary-renal syndrome and be rapidly fatal. Herein, we describe a case of hydralazine-associated AAV presenting as acute kidney injury with the use of early bronchoalveolar lavage (BAL) with serial aliquots to aid with diagnosis. Our case highlights how, in the correct clinical setting, BAL can act as a rapid diagnostic test to help guide quicker treatment to allow for better patient outcomes. |
Document Type: |
article |
File Description: |
electronic resource |
Language: |
English |
ISSN: |
2090-6854 |
Relation: |
https://doaj.org/toc/2090-6854 |
DOI: |
10.1155/2023/1461011 |
Access URL: |
https://doaj.org/article/4c3ece0cfee44569a90e38569ae392a0 |
Accession Number: |
edsdoj.4c3ece0cfee44569a90e38569ae392a0 |
Database: |
Directory of Open Access Journals |
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