A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria

Diagnosis and management of a systemic vasculitis are among the most demanding challenges in clinical medicine. A patient with a past history of cryptogenic organizing pneumonia presents with new bilateral lung lesions, unilateral pleural effusion, and significant proteinuria. The patient tested p-A...

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Autores principales: Samara, Katerina D., Papadogiannis, Giorgos, Nicholson, Andrew G., Magkanas, Eleutherios, Stylianou, Konstantinos, Siafakas, Nikolaos, Antoniou, Katerina M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665212/
https://www.ncbi.nlm.nih.gov/pubmed/23762073
http://dx.doi.org/10.1155/2013/489362
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author Samara, Katerina D.
Papadogiannis, Giorgos
Nicholson, Andrew G.
Magkanas, Eleutherios
Stylianou, Konstantinos
Siafakas, Nikolaos
Antoniou, Katerina M.
author_facet Samara, Katerina D.
Papadogiannis, Giorgos
Nicholson, Andrew G.
Magkanas, Eleutherios
Stylianou, Konstantinos
Siafakas, Nikolaos
Antoniou, Katerina M.
author_sort Samara, Katerina D.
collection PubMed
description Diagnosis and management of a systemic vasculitis are among the most demanding challenges in clinical medicine. A patient with a past history of cryptogenic organizing pneumonia presents with new bilateral lung lesions, unilateral pleural effusion, and significant proteinuria. The patient tested p-ANCA and anti-MPO positive but c-ANCA negative. A diagnosis of granulomatosis with polyangiitis GPA was reached after performing both renal and lung biopsies. Step-by-step differential diagnosis and management are discussed.
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spelling pubmed-36652122013-06-12 A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria Samara, Katerina D. Papadogiannis, Giorgos Nicholson, Andrew G. Magkanas, Eleutherios Stylianou, Konstantinos Siafakas, Nikolaos Antoniou, Katerina M. Case Rep Med Case Report Diagnosis and management of a systemic vasculitis are among the most demanding challenges in clinical medicine. A patient with a past history of cryptogenic organizing pneumonia presents with new bilateral lung lesions, unilateral pleural effusion, and significant proteinuria. The patient tested p-ANCA and anti-MPO positive but c-ANCA negative. A diagnosis of granulomatosis with polyangiitis GPA was reached after performing both renal and lung biopsies. Step-by-step differential diagnosis and management are discussed. Hindawi Publishing Corporation 2013 2013-05-09 /pmc/articles/PMC3665212/ /pubmed/23762073 http://dx.doi.org/10.1155/2013/489362 Text en Copyright © 2013 Katerina D. Samara et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Samara, Katerina D.
Papadogiannis, Giorgos
Nicholson, Andrew G.
Magkanas, Eleutherios
Stylianou, Konstantinos
Siafakas, Nikolaos
Antoniou, Katerina M.
A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria
title A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria
title_full A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria
title_fullStr A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria
title_full_unstemmed A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria
title_short A Patient Presenting with Bilateral Lung Lesions, Pleural Effusion, and Proteinuria
title_sort patient presenting with bilateral lung lesions, pleural effusion, and proteinuria
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665212/
https://www.ncbi.nlm.nih.gov/pubmed/23762073
http://dx.doi.org/10.1155/2013/489362
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