Relapsed Antineutrophilic Cytoplasmic Antibody–Associated Vasculitis Presenting as Diplopia

Alec B. Rezigh, Austin C. Rezigh, Zachary A. Cerra, Sameer A. Sidiq

Research output: Contribution to journalArticlepeer-review

Abstract

A 39-year-old man with a history of antineutrophilic cytoplasmic antibody–associated vasculitis in remission presented to the emergency department with 1 month of diplopia. Imaging revealed an infiltrating extraconal enhancing mass along the floor of the left orbit involving the left inferior rectus muscle. Biopsy demonstrated granulomatous inflammation and vasculitis consistent with recurrence of his antineutrophilic cytoplasmic antibody–associated vasculitis. Symptoms resolved with resumption of immunosuppression.

Original languageEnglish (US)
Article numbere240062
JournalAnnals of Internal Medicine Clinical Cases
Volume3
Issue number6
DOIs
StatePublished - Jun 2024

Keywords

  • ANCA
  • Antineutrophil cytoplasmic antibodies
  • Biopsy
  • Diplopia
  • Emergency department
  • History of medicine
  • Inflammation
  • Muscles
  • Muscular dystrophies
  • Rituximab
  • Vasculitis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine
  • Clinical Biochemistry

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