An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates

A 57-year-old female presented with sudden shortness of breath and migratory pulmonary infiltrates on imaging, which corresponds with a diagnosis of cryptogenic organizing pneumonia. Initial treatment with corticosteroids showed only mild improvement during follow-up. BAL was performed and revealed...

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Main Authors: Elad Mor, Alexandra Balbir-Gurman, Ludmila Guralnik, Inna Naroditski, Morad Zayoud, Yaniv Dotan
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007123000680
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author Elad Mor
Alexandra Balbir-Gurman
Ludmila Guralnik
Inna Naroditski
Morad Zayoud
Yaniv Dotan
author_facet Elad Mor
Alexandra Balbir-Gurman
Ludmila Guralnik
Inna Naroditski
Morad Zayoud
Yaniv Dotan
author_sort Elad Mor
collection DOAJ
description A 57-year-old female presented with sudden shortness of breath and migratory pulmonary infiltrates on imaging, which corresponds with a diagnosis of cryptogenic organizing pneumonia. Initial treatment with corticosteroids showed only mild improvement during follow-up. BAL was performed and revealed diffuse alveolar hemorrhage. Immune testing showed positive P-ANCA with positive MPO, leading to a diagnosis of microscopic polyangiitis.
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spelling doaj.art-4fd604d1ecee4701a70d05acafd8ef472023-06-16T05:09:39ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0144101873An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltratesElad Mor0Alexandra Balbir-Gurman1Ludmila Guralnik2Inna Naroditski3Morad Zayoud4Yaniv Dotan5Division of Pulmonary Medicine Rambam Health Care Campus, Israel; Corresponding author.B. Shine Rheumatology Unit Rambam Health Care Campus, Israel; Faculty of Medicine, Technion-Israel Institute of Technology, IsraelDepartment of Medical Imaging Rambam Health Care Campus, Israel; Faculty of Medicine, Technion-Israel Institute of Technology, IsraelPathology Institue Rambam Health Care Campus, Israel; Faculty of Medicine, Technion-Israel Institute of Technology, IsraelPathology Institue Rambam Health Care Campus, IsraelDivision of Pulmonary Medicine Rambam Health Care Campus, Israel; Faculty of Medicine, Technion-Israel Institute of Technology, IsraelA 57-year-old female presented with sudden shortness of breath and migratory pulmonary infiltrates on imaging, which corresponds with a diagnosis of cryptogenic organizing pneumonia. Initial treatment with corticosteroids showed only mild improvement during follow-up. BAL was performed and revealed diffuse alveolar hemorrhage. Immune testing showed positive P-ANCA with positive MPO, leading to a diagnosis of microscopic polyangiitis.http://www.sciencedirect.com/science/article/pii/S2213007123000680
spellingShingle Elad Mor
Alexandra Balbir-Gurman
Ludmila Guralnik
Inna Naroditski
Morad Zayoud
Yaniv Dotan
An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates
Respiratory Medicine Case Reports
title An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates
title_full An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates
title_fullStr An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates
title_full_unstemmed An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates
title_short An unexpected diagnosis of a 57-year-old women with migratory pulmonary infiltrates
title_sort unexpected diagnosis of a 57 year old women with migratory pulmonary infiltrates
url http://www.sciencedirect.com/science/article/pii/S2213007123000680
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