Diffuse Alveolar Haemorrhage — Viva Defence

Opening statement (SASPOP, delivered aloud)

"Ms Nguyen is a 46-year-old schoolteacher with new PR3-ANCA granulomatosis with polyangiitis, presenting as a pulmonary-renal syndrome: diffuse alveolar haemorrhage confirmed on serial bronchoalveolar lavage, and dialysis-dependent pauci-immune crescentic glomerulonephritis. Her main problems are: life-threatening but currently controlled alveolar haemorrhage on induction immunosuppression; severe renal failure of uncertain reversibility; the cumulative toxicity of steroids and B-cell depletion; and a relapsing-remitting disease that needs a maintenance and monitoring plan. I would like to consolidate remission, protect her from treatment complications, support her renal recovery or transition, and agree a relapse-surveillance plan with her." ^{[6] [7]}