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Clinical Images


Tasneam Shagroni, MD

December 2, 2015

A 64 year-old female presents with a three-day history of shortness of breath and cough productive of tablespoons of bright red blood. She denied any weight loss, fevers, or night sweats. Her laboratory studies were remarkable for anemia, rising creatinine and nephrotic range proteinuria. Computed tomography of the chest revealed diffuse multifocal nodular consolidations (Figure 1) and bronchoalveolar lavage confirmed diffuse alveolar hemorrhage. Serologies were positive for MPO-ANCA and renal biopsy revealed necrotizing crescentic glomerulonephritis.


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1. Kallenberg CG. The diagnosis and classification of microscopic polyangiitis. J Autoimmun. 2014; 48-49:90-93. 


About the author:

Tasneam Shagroni, MD is a second year Internal Medicine resident at Baylor College of Medicine in Houston, TX.