PMID- 22167487 OWN - NLM STAT- MEDLINE DCOM- 20130207 LR - 20161020 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 22 IP - 5 DP - 2012 Sep TI - Development of anti-neutrophil cytoplasmic antibody-associated vasculitis in a patient with Graves' disease independent of anti-thyroid drug therapy. PG - 778-82 LID - 10.1007/s10165-011-0570-0 [doi] AB - Anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) in patients with Graves' disease (GD) is linked with the use of anti-thyroid drugs (ATDs). We report the co-occurrence of AAV and GD in a patient that was independent of ATD therapy. A 38-year-old white male presented with systemic symptoms, palpitations, tremors, purpuric skin lesions, and digital pain. Physical examination and biological tests confirmed GD. He quickly developed multiple digital gangrenes and testicular pain/mass. Skin and testicular biopsies showed granulomatous vasculitis of the small- and medium-sized vessels, while his serum contained anti-proteinase-3 antibody. FAU - Khan, Nasim Ahmed AU - Khan NA AD - Division of Rheumatology, University of Arkansas for Medical Sciences, 4301 West Markham Street, #509, Little Rock, AR 72205, USA. nakhan@uams.edu FAU - Singh, Manisha AU - Singh M LA - eng PT - Case Reports PT - Journal Article DEP - 20111214 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - 0 (Antithyroid Agents) RN - 0 (Biomarkers) RN - 0 (Glucocorticoids) RN - 0 (Immunosuppressive Agents) RN - 721M9407IY (Propylthiouracil) RN - EC 3.4.21.76 (Myeloblastin) RN - MRK240IY2L (Azathioprine) RN - X4W7ZR7023 (Methylprednisolone) SB - IM MH - Adult MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/etiology/*pathology MH - Antibodies, Antineutrophil Cytoplasmic/immunology MH - Antithyroid Agents/adverse effects/*therapeutic use MH - Azathioprine/therapeutic use MH - Biomarkers MH - Drug Therapy, Combination MH - Glucocorticoids/therapeutic use MH - Graves Disease/complications/*drug therapy MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Male MH - Methylprednisolone/therapeutic use MH - Myeloblastin/immunology MH - Propylthiouracil/adverse effects/*therapeutic use MH - Remission Induction MH - Skin/blood supply/pathology MH - Testis/blood supply/pathology MH - Treatment Outcome EDAT- 2011/12/15 06:00 MHDA- 2013/02/08 06:00 CRDT- 2011/12/15 06:00 PHST- 2011/10/13 00:00 [received] PHST- 2011/11/21 00:00 [accepted] PHST- 2011/12/15 06:00 [entrez] PHST- 2011/12/15 06:00 [pubmed] PHST- 2013/02/08 06:00 [medline] AID - 10.1007/s10165-011-0570-0 [doi] PST - ppublish SO - Mod Rheumatol. 2012 Sep;22(5):778-82. doi: 10.1007/s10165-011-0570-0. Epub 2011 Dec 14.