In this Case Study, Iwatani and colleagues describe two cases of valvular injury associated with noninfective endocarditis in patients with proteinase 3 antineutrophil cytoplasmic antibody-associated glomerulonephritis. Diagnosis, treatment and management of such cases is discussed, and the importance of distinguishing between noninfective and infective endocarditis is emphasized.
- Hirotsugu Iwatani
- Yasuyuki Nagasawa
- Enyu Imai