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. 2017 Dec 21;57(12):1757–1762. doi: 10.2169/internalmedicine.9844-17

Table.

Clinical Features of Patients with MCTD Or Sjögren’s Syndrome Presenting with Rapidly Progressive Glomerulonephritis Due to ANCA-associated Glomerulonephritis.

References Reported year Age (years/gender) MCTD pSS Interval (months) MPO/ PR3-ANCA Cr(mg/dL) Proteinuria Microscopic hematuria Therapy Outcome
25 2000 58/F + - 192 +/- 1.5 0.77 g/day + mPSL, PSL, CYP imp
26 2006 47/F + - 228 +/ 2.7 6.5 g/day + mPSL, PSL, CYP imp
27 2006 42/F + +, # 168 +/- 6.0 + + mPSL, PSL, CYP, PE dead
28 2011 68/F + - 48 *+/ 0.58 2+ + PSL dead
29 2013 42/F + - 36 +/- 0.9 11 g/day + PSL, CYP imp
30 2014 35/F + - 8 +/ 0.95 4.1 g/day + mPSL, PSL, CYP imp
31 1992 63/F - + 7 +/- 2.3 2.07 g/day + PSL, mPSL, CYP imp
32 1996 74/F - + 36 +/- 2.6 1.60 g/day + mPSL, PSL imp
33 1999 67/F - + 7 +/- 2.8 0.43 g/day + mPSL, PSL CYP, PE imp
34 2000 49/F - + 24 +/- 1.3 1.20 g/day + mPSL, PSL imp
35 2009 49/F - + 12 +/- 1.2 0.48 g/day + mPSL, PSL MMF imp
36 2011 86/M - + 0 +/- 4.2 1.31 g/day + PSL, CYP ESRD
37 2014 66/F - + 72 +/- 2.8 2.40 g/day + PSL imp
38 2015 64/M - + 528 +/- 2.22 1.97 g/day + mPSL, PSL, CYP, AZA imp
38 2015 71/F - + 101 +/- 2.04 1.70 g/day + mPSL, PSL, CYP imp
38 2015 57/M - + 12 +/- 3.77 6.50 g/day + mPSL, PSL, CYP death
39 2015 65/F - + 94 +/- 1.6 1.6 g/day + mPSL, PSL AZA imp
40 2016 71/F - + 1 +/+ 2.9 1.68 g/day + mPSL, PSL, CYP imp
Our case 67/F + + 228 +/- 0.82 0.58 g/gCr + mPS, PSL, RTX imp

Interval: interval between the first symptoms of Sjögren’s syndrome or MCTD and presentation of RPGN, +: presence or positive, -: absence or negative. #: secondary Sjögren’s syndrome, *: MPO-ANCA related crescentic glomerulonephritis and immune complex glomerulonephritis. imp: improvement, ESRD: end stage renal disease, mPSL: methylprednisolone pulse, PSL: oral prednisolone, CYP: cyclophosphamide, PE: plasma exchange, MMF: mycophenolate mofetil, AZA: azathioprine, RTX: rituximab