A Case of Pulmonary Fibrosis with Microscopic Polyangiitis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 257-260, 2011.
Article
in Korean
| WPRIM
| ID: wpr-169147
ABSTRACT
A 65-year-old woman was admitted due to poor oral intake and a dry cough over the previous 3 months. The physical examination was remarkable for bibasilar crackles, and plain chest radiography showed reticulation in both lower lung fields. A pulmonary function test demonstrated a restrictive pattern with a reduced diffusing capacity of the lung for carbon monoxide. High resolution computed tomography showed reticulation and honey-combing in both peripheral lung zones, which was consistent with usual interstitial pneumonia pattern. Her skin showed livedo reticularis. The erythrocyte sedimentation rate and C-reactive protein level were elevated, and hematuria was noted on urinary analysis. A serologic test for auto-antibodies showed seropositivity for Myeloperoxidase-Anti-neutrophil cytoplasmic antibody (MPO-ANCA). A kidney biopsy was performed and showed focal segmental glomerulosclerosis. She was diagnosed as having pulmonary fibrosis with microscopic polyangiitis (MPA) and treated with high dose steroids. Here we report a case of pulmonary fibrosis coexistent with microscopic polyangiitis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Pulmonary Fibrosis
/
Respiratory Function Tests
/
Skin
/
Steroids
/
Thorax
/
Biopsy
/
Blood Sedimentation
/
C-Reactive Protein
/
Serologic Tests
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Tuberculosis and Respiratory Diseases
Year:
2011
Type:
Article
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