Tension Pneumothorax as Initial Manifestation of Granulomatosis with Polyangiitis (GPA)

Reis, Rúben and Joosten, Anneke and Ferreira, Francelino and Silva, Magda and Parente, Catarina and Maia, Inês (2021) Tension Pneumothorax as Initial Manifestation of Granulomatosis with Polyangiitis (GPA). European Journal of Case Reports in Internal Medicine, 8 (2). pp. 1-4. ISSN ISSN: 2284-2594

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Abstract

Granulomatosis with polyangiitis (Wegener’s granulomatosis) is a systemic vasculitis that primarily affects small and medium vessels. Its manifestations are usually confined to the upper airway, lower airway and kidney. It can also affect other organs and systems, although this is unusual. We describe the case of a 67-year-old woman who presented with a tension pneumothorax due to rupture of a pulmonary cavity. This pulmonary cavity proved to be secondary to systemic disease which also caused a tumour in her kidney. Biopsy showed non-necrotizing granulomatosis, and even though antineutrophil cytoplasmic antibodies (ANCA) were negative, the diagnosis of granulomatosis with polyangiitis was made.

Item Type: Article
Uncontrolled Keywords: Granulomatosis with polyangiitis (Wegener’s), double ANCA negative, tension pneumothorax, cavitation, renal mass
Subjects: 600 Tecnologia - Scienze applicate
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Marina Spanti
Date Deposited: 20 Dec 2021 15:23
Last Modified: 20 Dec 2021 15:23
URI: http://eprints.bice.rm.cnr.it/id/eprint/21183

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