<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232021000500003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vasculitis inusual asociada a anticuerpos anticitoplasma de neutrófilos]]></article-title>
<article-title xml:lang="en"><![CDATA[Unusual vasculitis associated with antineutrophil cytoplasmic antibodies]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Bohorquez]]></surname>
<given-names><![CDATA[Diego Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fajardo Rivero]]></surname>
<given-names><![CDATA[Javier Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[ Bucaramanga]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Grupo de Investigación MEDITA  ]]></institution>
<addr-line><![CDATA[ Bucaramanga]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232021000500003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232021000500003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232021000500003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las vasculitis asociadas a autoanticuerpos citoplasmáticos de neutrófilos son afecciones infrecuentes con una incidencia reportada de 46 a 184 casos por millón de personas y aparecen, generalmente, en edades tardías de la vida.  Objetivo:  Describir los hallazgos de una paciente en la que se diagnosticó vasculitis pauciinmune tipo poliangeítis microscópica tardíamente.  Caso clínico:  Se presenta el caso de una paciente de 60 años con antecedente de enfermedad renal crónica y compromiso respiratorio manifestado por disnea, tos productiva, malestar general y fiebre. En las imágenes se evidenció bronquiectasias y en los exámenes de laboratorio factor reumatoideo alto, autoanticuerpos citoplasmáticos antineutrófilos perinucleares positivos, anticuerpos antinucleares negativos y hemosiderófagos en el lavado broncoalveolar. Se instauró manejo con corticoides sistémicos con franca mejoría clínica. Sin embargo, una malformación arteriovenosa que originó una hemorragia en la fosa posterior, le ocasionó la muerte.  Conclusiones:  El diagnóstico de las vasculitis es complejo y depende en gran medida del criterio clínico, por lo que el médico debe estar presto a la interpretación de las manifestaciones clínicas y de los hallazgos paraclínicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Vasculitis associated with neutrophil cytoplasmic autoantibodies are infrequent conditions with a reported incidence of 46 to 184 cases per million people and it generally appears late in life.  Objective:  To describe the findings of a patient in whom microscopic polyangiitis-type pauciimmune vasculitis was late diagnosed.  Clinical case report:  We report a case of a 60-year-old patient with history of chronic kidney disease and respiratory compromise exhibited by dyspnea, productive cough, general malaise and fever. The images showed bronchiectasis and laboratory tests revealed high rheumatoid factor, positive perinuclear antineutrophil cytoplasmic autoantibodies, negative antinuclear antibodies, and bronchoalveolar lavage exposed hemosiderophages. Management with systemic corticosteroids was established with clear clinical improvement. However, an arteriovenous malformation that caused a hemorrhage in the posterior fossa caused his death.  Conclusions:  The diagnosis of vasculitis is complex and depends largely on clinical criteria, so physicians must be ready to interpret the clinical manifestations and paraclinical findings.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vasculitis]]></kwd>
<kwd lng="es"><![CDATA[hemoptisis]]></kwd>
<kwd lng="es"><![CDATA[consolidación multilobar]]></kwd>
<kwd lng="es"><![CDATA[nefropatía]]></kwd>
<kwd lng="en"><![CDATA[vasculitis]]></kwd>
<kwd lng="en"><![CDATA[hemoptysis]]></kwd>
<kwd lng="en"><![CDATA[multilobar consolidation]]></kwd>
<kwd lng="en"><![CDATA[nephropathy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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