A little more back story on the recent diagnosis, due to COVID, NYS lockdowns, etc., the ability to actually perform a biopsy of any sort was delayed until 2 weeks ago. Due to the high concern over what looked like rapidly deteriorating kidney conditions, all the symptoms that fit the GPA bill, and ANCA tests that showed they were extremely high, it was decided to forge ahead with the Rituxan infusions. I and the doctors agreed that was the best course of action given what was known at the time and the limitations that were imposed.

Now... The biopsy results come in and the kidney specialists tell me they are completely surprised by the results and don't see ANCA related vasculitis, but instead IgA vasculitis in the kidneys (along with some other things like thin filters, etc.) and now think it could be Henoch-Schönlein purpura. I'm still trying to process if this is good, bad, indifferent news. Right now the plan is to taper off the steroids and basically see what happens. The similarities between the two is quite high, and a lot of the timing and times of year HSP is known for fit. But he almost alluded to a possibility that someone could have both? Any of you folks run into something similar or have knowledge of it?

I have a face to face meeting next week with the RA to go over everything, if nothing else, it's a plot twist in the story.

Hope everyone is doing well!
Thanks,
Dave