Case Report

A Case of an Elderly Woman Who Developed Corneal Perforation in the Clinical Course of Myeloperoxidase Positive Antineutrophil Cytoplasmic Antibody-Associated Vasculitis

Table 2

Previously reported AAV cases with ocular lesions (CRP and ANCA data available).

AgeSexANCA typeANCA titerCRP (mg/dL)Ocular manifestationOrgan involvementTreatment

[16]52MPPositive16.7ScleritisNeuropathyPSL, mPSL, CY, MTX
[16]59FP219 EU>10ScleritisKidneyPSL
[16]42MP>640 EU3.1ScleritisLungPSL, mPSL, CY
[21]73FMPO235 U/mL10.4Bilateral orbital apex syndromeENTPSL, mPSL, MTX
[22]69FMPO124 RU/mL0.4ScleritisENTPSL, mPSL, RTX, AZA
Current case74FMPO22.0 U/mL0.01Scleritis, cornea ulcer, perforationPSL, mPSL, MZR, RTX
[17]54MCPositiveElevatedNecrotizing scleritis, uveitisENTPSL, mPSL, MTX
[17]56MCPositive16.8Necrotizing scleritis, ulcerative keratitisPSL, mPSL, CY
[17]50FCPositive13.7Necrotizing scleritis, ulcerative keratitis, cornea ulcerLungPSL, mPSL, CY, MTX
[17]30MCPositive43.0Necrotizing scleritis, ulcerative keratitisENT, lung, kidneyPSL, CY, IVCY
[12]37MCPositive7.7Scleritis, corneal perforation conjunctivitisENT, lungIVCY, CY, mPSL
[23]38MCPositive7.2Conjunctivitis, episcleritis, anterior uveitisKidneyPSL, mPSL, RTX, PE
[24]53FPR3175 IU/mL1.2EpiscleritisKidney, muscle, jointPSL, CY, AZA
[19]67MPR323 EU/mL0.2ScleritisENTPSL, mPSL, IVCY, RTX
[25]44FPR35.9 U/mL0.12ScleritisENT, skinPSL, mPSL
[26]73FPR3725 U/mL0.4ScleritisKidney, lungPSL, RTX
[18]40FPR3195 AU/mL6.6Ulcerative keratitisENT, lungPSL, CY
[20]19FPR3Positive11.0Necrotizing scleritis, ulcerative keratitisENTPSL, AZA, RTX, MTX
[27]74MP and C28 EU/mL and 23 EU/mL0.05ScleritisPSL, mPSL

AAV: antineutrophil cytoplasmic antibody-associated vasculitis, ANCA: antineutrophil cytoplasmic antibody, AZA: azathioprine, CRP: C-reactive protein, CY: cyclophosphamide, ENT: ear, nose, and throat, ESR: erythrocyte sediment rate, F: female, IVCY: intravenous cyclophosphamide, M: male, MPO: myeloperoxidase, mPSL: methylprednisolone, MTX: methotrexate, PE: plasma exchange, PR3: proteinase 3, PSL: prednisolone, RTX: rituximab.