An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates

A 57-year-old female presented with sudden shortness of breath and migratory pulmonary infiltrates on imaging, which corresponds with a diagnosis of cryptogenic organizing pneumonia. Initial treatment with corticosteroids showed only mild improvement during follow-up. BAL was performed and revealed...

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Detalles Bibliográficos
Autores principales: Mor, Elad, Balbir-Gurman, Alexandra, Guralnik, Ludmila, Naroditski, Inna, Zayoud, Morad, Dotan, Yaniv
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205530/
https://www.ncbi.nlm.nih.gov/pubmed/37234721
http://dx.doi.org/10.1016/j.rmcr.2023.101873
Descripción
Sumario:A 57-year-old female presented with sudden shortness of breath and migratory pulmonary infiltrates on imaging, which corresponds with a diagnosis of cryptogenic organizing pneumonia. Initial treatment with corticosteroids showed only mild improvement during follow-up. BAL was performed and revealed diffuse alveolar hemorrhage. Immune testing showed positive P-ANCA with positive MPO, leading to a diagnosis of microscopic polyangiitis.

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