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. 2014 Oct 29;5(1):30–38. doi: 10.1159/000368826

Table 2.

Reported cases of MN induced by D-penicillamine associated with crescent formation evaluated for ANCA

Year Initial diagnosis Clinical manifestation IF study (capillary wall) MN stage ANCA Outcome Treatment Reference
1993 RA RPGN Granular IgG, IgA, C3 NR negative improved prednisolone, cyclophosphamide, plasma exchange 15

1995 RA PRS Granular IgG, C3 NR P-ANCA+, MPO-ANCA+ ESRD prednisolone, cyclophosphamide, plasma exchange 16

1996 RA RPGN Granular IgG, C3 II P-ANCA + improved prednisolone, cyclophosphamide, azathioprine 17

1997 SSc RPGN Granular IgG, C3 II–III P-ANCA+, MPO-ANCA+ improved prednisolone, cyclophosphamide, hemodialysis 18

RA = rheumatoid arthritis; NR = not reported; PRS = pulmonary renal syndrome; P-ANCA = perinuclear ANCA; ESRD = end-stage renal disease; SSc = systemic sclerosis.