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Could Covid-19 Trigger Presentation or Exacerbation of Vasculitides? (A 14-Year-Old Girl With Newly Diagnosed Gpa After Covid-19 Infection) Publisher



Raeeskarami SR1 ; Mousavi SH2 ; Ashouri M3 ; Akbariasbagh P1 ; Assari R4 ; Naderi S5
Authors
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Authors Affiliations
  1. 1. Department of Pediatrics, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Cardiology, AJA University of Medical Sciences, Tehran, Iran
  3. 3. Department of Surgery, Imam khomeini Hospital, Tehran University of Medical Scienses, Tehran, Iran
  4. 4. Department of Pediatrics, Pediatrics Center of Exellence, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Pediatrics, Pediatrics Center of Excellence, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Pediatrics Published:2021


Abstract

Introduction: Granulomatosis with polyangiitis (GPA) is a kind of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), which involves small-to-medium-sized vessels. Besides, GPA usually involves the upper and lower respiratory tract, and also causes necrotizing glomerulonephritis. The involvement of the heart and gastrointestinal (GI) tract in GPA is unusual, and these are atypical places of this vasculitis. Case Presentation: A 14-year-old girl with a newly diagnosed GPA after afflicting with COVID-19 infection presented with ST-elevation Myocardial Infarction (MI), GI perforation, and intracranial hemorrhage. Conclusions: Although GPA is rare in the pediatric population, it might occur in this age group and could involve multiple organ systems. © 2021, Author(s).