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⏱️ 230s

🌱 Beginner Level — 0 / 60

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Pulmonary Vasculitis — Microscopic Polyangiitis (MPA)

A 54-year-old woman with rapidly progressive glomerulonephritis and alveolar hemorrhage. ANCA: p-ANCA/MPO. BAL bloody. CT: diffuse ground-glass opacities.

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💡 Hint: Correct order adjusted to match available steps.

Initiate IV pulse methylprednisolone

Consider plasma exchange in severe alveolar hemorrhage

Transition to maintenance (azathioprine, rituximab, methotrexate)

Avoid steroid monotherapy

Confirm diagnosis with serology and renal biopsy if feasible

Add rituximab or cyclophosphamide for induction

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