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Would you check ANCA titers in a patient with a history of PR-3-ANCA glomerulonephritis in remission and a stable creatinine but with recurrent microscopic hematuria?

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Nephrology · Ohio State Department Of Nephrology

Not sure there is an easy answer to this. A patient in remission should not get a recurrence of glomerular hematuria unless the disease is active. A new onset glomerular hematuria would certainly make me worried about a relapse, some of which may be subtle, indicating "grumbling disease".

The data o...

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Nephrology · Rush Medical College

Absolutely, especially PR3 AAV. I may not act on it alone, but if the PR3 was increasing there is evidence that that (serologic relapse) is a harbinger of clinical relapse. Creatinine climbing is the last thing I would wait to make a decision on. Pr3 AAV is a nasty disease that relapses and I never ...

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Nephrology · Arroyo Nephrology Associates

If you really mean free current hematuria that would indicate that the hematuria is not persistent and certainly you cannot get a recurrence and remission within short periods of time.

Unless the creatinine rises and there is evidence of active disease i.e. proteinuria and hematuria which is persist...

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Nephrology · Temple/St. Lukes Medical School

I would only order repeat Titers after remission if there is worsening proteinuria, hematuria or renal function.

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Rheumatology · University of Chicago

Yes. But I would also consider cytologic evaluation, esp if hx of cytoxan use.

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Nephrology · Pacific Nephrology And Internal Medicine Inc

If you have the prior serological history and U/A findings, you will be able to classify this patient if he is in remission or relapse, after ruling out other ethologies for hematuria.

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