a patient presenting with bilateral lung lesions, pleural effusion, and proteinuria

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ID: 231646
2013
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Abstract
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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Authors ;Katerina D. Samara;Giorgos Papadogiannis;Andrew G. Nicholson;Eleutherios Magkanas;Konstantinos Stylianou;Nikolaos Siafakas;Katerina M. Antoniou
Journal Frontiers in pharmacology
Year 2013
DOI
10.1155/2013/489362
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