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Retroperitoneal bleeding after PCI — RCPSC IM MCQ

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HardCardiologyRetroperitoneal bleeding after PCIRCPSC IM

A patient with ANCA-associated vasculitis has achieved remission after rituximab induction. He has no active pulmonary or renal disease, but PR3-ANCA remains positive. What is the most appropriate follow-up principle?

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Correct answer: E — Base maintenance on organ assessment rather than ANCA titres

ANCA titres can inform context but do not independently dictate treatment. Maintenance strategy and relapse assessment use clinical findings, urinalysis, kidney function and specialty review; automatic escalation, stopping therapy by titre, or plasma exchange is inappropriate.

Reference: Canadian Rheumatology Association, Clinical Guidelines and Position Statements: https://rheum.ca/resources/publications/