Out of the blue and into the black

Introduction: ANCA-associated vasculitides (AAV) are systemic vasculitides involving small to medium vessels and are divided into three separate clinical entities with many overlapping and some distinctive features. Here we present a case having features of all three AAV, including microscopic polyangiitis, granulomatosis with polyangiitis, and eosinophilic granulomatosis with polyangiitis.