Diffuse Alveolar Hemorrhage in a 39-year-old Woman: Unusual Initial Presentation of Microscopic Polyangiitis
| Autor: | Jae Jun Kim, Young-Pil Wang, Sook-Whan Sung, Hyung Joo Park, Jae-Kil Park, Do Yeon Kim |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
Hemoptysis medicine.medical_specialty Pathology Case Report Lung biopsy Vascular disease Necrotizing Vasculitis medicine Lung medicine.diagnostic_test business.industry Diffuse alveolar hemorrhage medicine.disease respiratory tract diseases Surgery medicine.anatomical_structure Sputum Renal biopsy medicine.symptom Cardiology and Cardiovascular Medicine business Microscopic polyangiitis |
| Zdroj: | The Korean Journal of Thoracic and Cardiovascular Surgery |
| ISSN: | 2093-6516 2233-601X |
| DOI: | 10.5090/kjtcs.2011.44.6.448 |
| Popis: | Microscopic polyangiitis (MPA) is a necrotizing vasculitis involving the small vessels without granulomatous inflammation. Most MPA initially presents with renal involvement without pulmonary involvement. Isolated and initially presenting alveolar hemorrhage is very rare. The patient was a 39-year-old female with a progressive cough, dyspnea, and blood-tinged sputum for the previous 5 days. We determined that her condition was MPA though VATS lung biopsy and renal biopsy. After 2 months of steroid therapy, the chest lesions had improved. We report here a rare case of MPA with isolated and initial involvement of the lung with a review of the literature. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|