Vasculitis en paciente crítico: síndrome riñón-pulmón / Vasculitis on the intensive care unit: pulmonary-renal syndrome

ABSTRACT

Pulmonary-renal syndrome (PRS) is a combination of diffuse pulmonary haemorrhage and glomerulonephritis it's not a single entity and is caused by a variety of conditions and pathogenic mechanisms; the majority of cases of PRS are associated with antineutrophil cytoplasmic antibodies (ANCA). The final diagnosis rests on a balance of clinical, laboratory, radiological and histological features. The exclusion of alternative diagnoses is important in assuring appropriate therapy. In patients in Intensive Care Unit it's describe a high morbility and mortality; because of that need early diagnosis and treatment. We present a 48-year-old woman with history of vasculitis ANCA-MPO (+) admitted in respiratory distress and renal failure.