Tag Archives: microscopic polyangiitis

Case report A 19-year-old white male non-smoker without any significant past medical, travel or drug history presented to Accident & Emergency with a one-week history of dry cough, muscle aches, night sweats, and left-sided pleuritic chest pain. On admission his temperature was 38.4°C, pulse 118 beats per minute and blood pressure 130/70 mmHg. The jugular venous pressure was elevated 5 cm above the sternal angle. He had normal heart sounds with a pericardial rub. There were no other signs and urine testing was normal. Figure 1. Chest X-ray showing cardiomegaly His inflammatory markers were raised with C-reactive protein (CRP) of 174 mg/L