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. 2015 Jun 19;10(7):1300–1310. doi: 10.2215/CJN.01910215

Table 1.

Drugs commonly implicated in ANCA-associated vasculitis

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.

a

Data from the largest case series of cocaine- and levamisole-associated, ANCA-associated vasculitis (21).

b

Data from the largest series of hydralazine-associated, ANCA-associated vasculitis (5,38).