PMC9459451_01
(a) Bilateral nonpurulent conjunctivitis at the first admission and (b) after
treatment.
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Physical examination of the patient revealed bilateral nonpurulent conjunctivitis (Figure 1). ANCA-associated focal sclerosing glomerulonephritis with pauci-immune vasculitis.The patient was diagnosed with GPA in terms of the EULAR/PRINTO/PRES criteria and then methylprednisolone pulse 30 mg/kg daily (max: 1 g) and cyclophosphamide intravenous (IV) infusion were started for him, followed by oral prednisolone and cyclophosphamide IV infusion every 2 weeks for a 6-week duration after being discharged and then continued every 3 weeks. After 3 months, the conjunctivitis resolved and ocular examination through slit lamp and funduscopy was found to be normal (Figure 1).
Multiple pulmonary nodules in both lungs.
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Besides, spiral chest CT scan showed multiple pulmonary nodules in both lungs (Figure 2).