Table 3.
Clinical differences between GPA and MPA.
GPA | MPA | |
---|---|---|
Constitutional symptoms | Common | Common |
ENT disease | Common and often severe Sinusitis, epistaxis, otitis media, septal perforation, subglottic stenosis | Very mild to absent |
Pulmonary involvement | Nodules, cavitatary lesions, fixed infiltrates, and pulmonary hemorrhage | Pulmonary hemorrhage |
Ocular | Scleritis, episcleritis, orbital pseudotumor, uveitis, conjunctivitis | Episcleritis and conjunctivitis. Rare orbital pseudotumor |
Kidney | Segmental pauci-immune necrotizing and crescentic glomerulonephritis (rare granulomatous lesions) | Segmental pauci-immune necrotizing and crescentic glomerulonephritis |
Nervous system | Headache, peripheral neuropathy (rare) | peripheral neuropathy (common) |
Cardiovascular | Venous thrombosis, Occasionally valvular lesions | Rare involvement. |