Treatment for ARDS vs DAH | Figure 1

msputman

Treatment for ARDS vs DAH

A 27 year old patient patient with lung-limited ANCA associated vasculitis presents with shortness of breath that progressed to respiratory failure. She last received rituximab 2 months prior and tested positive for rhinovirus and influenza. Given history of AAV, your pulmonary colleagues start pulse dose steroids (1g daily) and ask if you would add additional immunosuppression for the possibility of concurrent diffuse alveolar hemorrhage. Do you initiate additional therapy? If so, what? PLEX? Cyclophosphamide? IVIG?

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