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

Elad Mor; Alexandra Balbir-Gurman; Ludmila Guralnik; Inna Naroditski; Morad Zayoud; Yaniv Dotan

doi:10.1016/j.rmcr.2023.101873

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

Elad Mor^*, Alexandra Balbir-Gurman, Ludmila Guralnik, Inna Naroditski, Morad Zayoud, Yaniv Dotan

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Article number	101873
Journal	Respiratory Medicine Case Reports
Volume	44
DOIs	https://doi.org/10.1016/j.rmcr.2023.101873
State	Published - Jan 2023
Externally published	Yes

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10.1016/j.rmcr.2023.101873

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abstract = "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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AU - Guralnik, Ludmila

AU - Naroditski, Inna

AU - Zayoud, Morad

AU - Dotan, Yaniv

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N2 - 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.

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

Abstract

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