Granulomatosis with polyangiitis is a small vessel vasculitis with a wide spectrum of presentation, ranging from limited disease to life-threatening situation such as alveolar hemorrhage Immunosuppression is the corner stone of the treatment and if left untreated, the death toll increases dramatically We presented a case of granulomatosis with polyangiitis, presented with alveolar hemorrhage associated with COVID-19 infection The patient admitted to the intensive care unit, received pulse steroids, plasmapheresis and intravenous immunoglobulin She was not given further immunosuppression because of the coexisting COVID-19 Up to our knowledge, this is the first reported case of alveolar hemorrhage secondary to granulomatosis with polyangiitis coexisting with COVID-19 infection
Anti-Neutrophilic Cytoplasmic Antibody (ANCA) Vasculitis Presented as Pulmonary Hemorrhage in a Positive COVID-19 Patient: A Case Report