Granulomatosis (Wegener's granulomatosis) with polyangiitis presented as pulmonary manifestation: a case report.

Autor: Lazim QJ; Department of Cardiovascular Surgery Al-Sadder Teaching Hospital, Misan Health Directorate, Ministry of Health/Environment Misan Iraq., Atrah SSG; Department of Radiology Al-Sadder Teaching Hospital, Misan Health Directorate, Ministry of Health/ Environment Misan Iraq., Mutlag KJ; Department of Rheumatology Al-Sadder Teaching Hospital, Misan Health Directorate, Ministry of Health/ Environment Misan Iraq., Alhilfi HSQ; Faculty of Medicine, Department of Medicine Misan University Misan Iraq., Fahad AM; Department of Cardiovascular Surgery Al-Sadder Teaching Hospital, Misan Health Directorate, Ministry of Health/Environment Misan Iraq., Alshewered AS; Misan Radiation Oncology Center Misan Health Directorate, Ministry of Health/Environment Misan Iraq.
Jazyk: angličtina
Zdroj: Respirology case reports [Respirol Case Rep] 2020 Oct 13; Vol. 8 (8), pp. e00674. Date of Electronic Publication: 2020 Oct 13 (Print Publication: 2020).
DOI: 10.1002/rcr2.674
Abstrakt: Pulmonary vasculitis can be the manifestation of several systemic illnesses such as primary systemic vasculitis, collagen vascular diseases, and systemic diseases associated with autoantibodies. It may be associated with granulomatous, eosinophilic, lymphoplasmacytic and neutrophilic inflammatory diseases. In this case report, we describe a 22-year-old female presented with intermittent fever, sweating and shivering, haemoptysis, sore throat, shortness of breath, fatigue, loss of appetite, nausea, non-projectile vomiting, dizziness, and dark coloured urine. The diagnosis of granulomatosis with polyangiitis was made utilizing biochemical and radiological tests. Several pharmacological therapies were tried including rituximab. The patient made a good recovery and was discharged home after 12 days of hospitalization. The knowledge of the main radiographic and computed tomography (CT) scan findings, in association with clinical and laboratory data, often enables non-invasive diagnosis of pulmonary vasculitis.
(© 2020 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.)
Databáze: MEDLINE
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