Abstract:

ABSTRACT: A 42-years-old male was characterized by emaciation and rapidly progressive glomerulonephritis. His serum p-ANCA and MPO-ANCA were positive, there was no history of hypertension, and the blood coagulation function was normal. The patient suffered hemiplegia of left limbs in a sudden, and emergency CT scan showed hemorrhage of right basal ganglia zone, without vascular malformation. The diagnosis was microscopic polyarteritis combined with intracranial hemorrhage, after treatment of hemostasis and mannitol, the patient’s hemiplegia sign recovered gradually.

Key words: antineutrophil cytoplasmic antibodies, microscopic polyarteritis, intracranial hemorrhage