4.CONCLUSION:
In conclusion, the case presents the unusual relationship between HBV
infection and autoimmune-mediated C-ANCA-associated small vessels as an
initial presentation of chronic HBV infection. This rare association
highlights the importance of considering vasculitis in the differential
diagnosis of patients with HBV, even in the absence of liver-related
symptoms. The presence of cANCA in such cases prompts further
investigation into the immunological mechanisms underlying
HBV-associated vasculitis, suggesting a potential role for ANCA testing
in CHB patients presenting with vasculitis symptoms. Continued research
is essential for better understanding this complex association’s
mechanisms and management strategies.