A 75 year old male with recurrent unilateral pleural effusion and positive ANA
Autor: | Tanner J. Wallen, Mridula Krishnan, Zachary S. DePew, Nikhil Jagan |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Pleural effusion medicine.medical_treatment Unilateral pleural effusion Thoracentesis Case Report medicine.disease_cause Asbestos 03 medical and health sciences 0302 clinical medicine Positive ana medicine Mesothelioma lcsh:RC705-779 business.industry lcsh:Diseases of the respiratory system respiratory system medicine.disease Dermatology Pathophysiology respiratory tract diseases 030228 respiratory system 030220 oncology & carcinogenesis Etiology business |
Zdroj: | Respiratory Medicine Case Reports, Vol 26, Iss, Pp 301-303 (2019) Respiratory Medicine Case Reports |
ISSN: | 2213-0071 |
Popis: | This case report describes the clinical course and diagnostic challenges arising in a 75 year old man who initially presented with progressive shortness of breath. Imaging revealed a pleural effusion, which was recurrent following thoracentesis. While his initial workup suggested an autoimmune etiology, further diagnostic testing revealed a diagnosis of malignant pleural mesothelioma. Curiously, the patient had no known asbestos exposure, which is classically associated with acquired mesothelioma. There are a small number of similar cases with a possible overlap between positive autoimmune serologies and mesothelioma; however, the underlying pathophysiology remains elusive. It is the authors' goal to contribute this case to the few cases describing such overlap syndromes. |
Databáze: | OpenAIRE |
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