September 10, 2025

A Case of ANCA-Associated Vasculitis Presenting with Spontaneous Intracerebral Haemorrhage and Hypertrophic Pachymeningitis

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Patient diagnosed with anca-associated vasculitis, showing severe complications of spontaneous intracerebral haemorrhage.
Serum PR3 ANCA tested positive at 77.8 IU/ml, leading to specific therapy initiation within nine hospital days.
CT scans revealed intracerebral haemorrhages alongside a dura-based intracranial granuloma as significant findings.
Calls for a high index of suspicion as uncommon manifestations like hypertrophic pachymeningitis can complicate early diagnosis.

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Case report on ANCA-associated vasculitis revealing rare complications in a patient, highlighting early diagnosis via serological parameters.

Uk et al. (2022) studied this question.

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Case report on ANCA-associated vasculitis revealing rare complications in a patient, highlighting early diagnosis via serological parameters.