Table 1.
Drug | Evidence | Renal Involvement | Comments |
Cocaine and levamisole | Multiple case series and case reports | 44%a | Skin manifestations in 61%a |
Neutropenia in 28%a | |||
Hydralazine | Case series and case reports | 80%–90%b | Combined pulmonary-renal syndrome is rare (15 patients to date) |
Lupus-like syndrome is common | |||
Antithyroid medications | PTU: multiple case series and case reports | May be common | Animal models also support association with PTU |
Carbimazole and methimazole: case reports | |||
Minocycline | Small case series and case reports | No reported cases of renal involvement with small-vessel vasculitis | Conflicting data on ANCA seroconversion with minocycline use (45,46) |
PAN with p-ANCA positivity and renal involvement reported | |||
Allopurinol | Case reports | Reported | Pulmonary-renal syndrome rarely reported |
Penicillamine | Case reports | Reported | No seroconversion noted in analysis of scleroderma trial (46) |
Sulfasalazine | Case reports | Reported | Pulmonary-renal syndrome also reported |
No seroconversion noted in analysis of the CSSRD Trial (46) |
PTU, propylthiouracil; PAN, polyarteritis nodosa; p-ANCA, perinuclear ANCA; CSSRD, Cooperative Systematic Studies of the Rheumatic Diseases.
Data from the largest case series of cocaine- and levamisole-associated, ANCA-associated vasculitis (21).