Multiple Pulmonary Nodules in A Patient with Sinusitis, Proteinuria and Hematuria / 결핵
Tuberculosis and Respiratory Diseases
; : 463-469, 2002.
Article
de Ko
| WPRIM
| ID: wpr-47445
Bibliothèque responsable:
WPRO
ABSTRACT
A 49-year old man who had been treated for five months at a private clinic due to chronic paranasal sinusitis was admitted to our hospital because of recently aggravated nasal stuffiness, headache, and cough. The X-ray film of paranasal sinuses and facial CT scan showed marked mucosal thickening of the nasal cavity and paranasal sinuses. The plain chest film and chest CT scan showed multiple, variable sized, pulmonary nodules in both lungs. The level of c-ANCA was elevated and urinalysis revealed proteinuria and hematuria. Percutaneous lung and kidney biopsies were performed for confirmative diagnosis. Histologic examination of the lung nodule demonstrated extensive necrosis and poorly-formed granulomatous inflammation. The histologic finding of the kidney showed focal necrotizing glomerulonephritis. A diagnosis of Wegener's granulomatosis involving the paranasal sinuses, lung and kidney was made, and treatment was successfully performed with cyclophosphamide and prednisone.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Sinus de la face
/
Protéinurie
/
Sinusite
/
Thorax
/
Film radiographique
/
Biopsie
/
Prednisone
/
Tomodensitométrie
/
Granulomatose avec polyangéite
/
Examen des urines
Type d'étude:
Diagnostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Tuberculosis and Respiratory Diseases
Année:
2002
Type:
Article