case_images: PMC9459451_01
case_images: (a) Bilateral nonpurulent conjunctivitis at the first admission and (b) after
  treatment.
case_images: 10.1177_2050313X221114727-fig1.jpg
case_images: PMC9459451_01_10.1177_2050313X221114727-fig1.jpg
case_images: fig1-2050313X221114727
case_images: Physical examination of the patient revealed bilateral nonpurulent conjunctivitis (Figure 1). ANCA-associated focal sclerosing glomerulonephritis with pauci-immune vasculitis.The patient was diagnosed with GPA in terms of the EULAR/PRINTO/PRES criteria and then methylprednisolone pulse 30 mg/kg daily (max: 1 g) and cyclophosphamide intravenous (IV) infusion were started for him, followed by oral prednisolone and cyclophosphamide IV infusion every 2 weeks for a 6-week duration after being discharged and then continued every 3 weeks. After 3 months, the conjunctivitis resolved and ocular examination through slit lamp and funduscopy was found to be normal (Figure 1).
case_images: Multiple pulmonary nodules in both lungs.
case_images: 10.1177_2050313X221114727-fig2.jpg
case_images: PMC9459451_01_10.1177_2050313X221114727-fig2.jpg
case_images: fig2-2050313X221114727
case_images: Besides, spiral chest CT scan showed multiple pulmonary nodules in both lungs (Figure 2).