Autoimmune overload: An atypical presentation of granulomatosis with polyangiitis in an adolescent with type 1 diabetes mellitus

Abstract

To the Editor, We present the case of an 11-year-old female with a history of type 1 diabetes, hematochezia, and iron deficiency anemia who was admitted for hypoxia following an endoscopy and colonoscopy. Room air saturations were in the low eighties, and she was started on oxygen by nasal cannula. A chest radiograph (Figure 1A) demonstrated findings consistent with viral airway disease, and on a nasal swab, she was positive for rhino/enterovirus but negative for COVID.