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Atypical Endobronchial Carcinoid with Postobstructive Pneumonia Obscuring the Diagnosis of Granulomatosis with Polyangiitis
المؤلفون المشاركون
Baldeo, Candice
Onyenekwe, Jesse
Lala, Roshan
Siddiqi, Anwer
Ali, Robert
Landa, Cristian
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-08-11
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Granulomatosis with polyangiitis (GPA), previously termed Wegener’s Granulomatosis, is an autoimmune small vessel vasculitis which is highly associated with antineutrophil cytoplasmic antibodies (ANCA) and has varied clinical manifestations.
Diagnosis hinges on identifying a combination of clinical features of systemic vasculitis, positive ANCA serology, and histological evidence of necrotizing vasculitis, necrotizing glomerulonephritis, or granulomatous inflammation from a relevant organ biopsy.
The American College of Rheumatology has also developed a classification criteria focusing specifically on nasal or oral inflammation, abnormal chest radiograph, and abnormal urinary sediment, along with granulomatous inflammation, which helps to distinguish GPA from other forms of systemic vasculitis.
In the case presented below, the diagnosis of GPA was delayed as the patient had a concomitant atypical endobronchial carcinoid which predisposed to postobstructive pneumonia.
Fortunately, the papular lesions that developed across her lower limbs prompted further investigations.
The return of appropriate serology coincided with progression to alveolar hemorrhage, offering a more complete clinical picture, and when she responded to the combination of steroid, cyclophosphamide, and plasma exchange, the diagnosis of GPA was cinched.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ali, Robert& Baldeo, Candice& Onyenekwe, Jesse& Lala, Roshan& Landa, Cristian& Siddiqi, Anwer. 2015. Atypical Endobronchial Carcinoid with Postobstructive Pneumonia Obscuring the Diagnosis of Granulomatosis with Polyangiitis. Case Reports in Rheumatology،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1059972
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ali, Robert…[et al.]. Atypical Endobronchial Carcinoid with Postobstructive Pneumonia Obscuring the Diagnosis of Granulomatosis with Polyangiitis. Case Reports in Rheumatology No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1059972
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ali, Robert& Baldeo, Candice& Onyenekwe, Jesse& Lala, Roshan& Landa, Cristian& Siddiqi, Anwer. Atypical Endobronchial Carcinoid with Postobstructive Pneumonia Obscuring the Diagnosis of Granulomatosis with Polyangiitis. Case Reports in Rheumatology. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1059972
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1059972
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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