38 yr old lady,  diagnosed c /o p ANCA positive vasculitis since 1 yr involving kidney (s.creat 3.0 )n brain with epileptic attacks on anti convulsant.......treated with  prednisolone.n  cyclophosphamide. .....now presented with kidney n lung involvement on bipap for lung support extensive fibrosis of lung upto bilateral mid zone ....received plasma pheresis of 5 cycles......

s creat 3.68..continuous bipapa support......is there any role of growth hormone in this or any role of stem cell therapy.......???????