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

, : A patient presenting with bilateral lung lesions, pleural effusion, and proteinuria. Case Reports in Medicine 2013: 489362-489362

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.


PMID: 23762073

DOI: 10.1155/2013/489362

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