Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis
A 38-year-old hypertensive male with a smoking history presented to the emergency room with significant hemoptysis, arthritis, and a purpuric rash. Other findings included a dropping hemoglobin and acute kidney injury with microscopic hematuria. The pulmonary computed tomography was significant for...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2020/3079869 |
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| _version_ | 1832566176726646784 |
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| author | Ahmed Alhazmi Mohamed Moulaye Cheikh Rola Yousef Hassan |
| author_facet | Ahmed Alhazmi Mohamed Moulaye Cheikh Rola Yousef Hassan |
| author_sort | Ahmed Alhazmi |
| collection | DOAJ |
| description | A 38-year-old hypertensive male with a smoking history presented to the emergency room with significant hemoptysis, arthritis, and a purpuric rash. Other findings included a dropping hemoglobin and acute kidney injury with microscopic hematuria. The pulmonary computed tomography was significant for alveolar hemorrhage and a rarely reported pneumomediastinum. Along with this constellation of findings, a positive antiproteinase 3 helped to confirm this patient’s diagnosis of granulomatosis with polyangiitis. Treatment commenced with sessions of plasma exchange and pulse steroids along with cyclophosphamide infusions. The patient had since improved and made a full recovery. This case report highlights the rarely described pneumomediastinum in association with vasculitides. |
| format | Article |
| id | doaj-art-01da2a3d31f64f77a9bd012c7c19611b |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-01da2a3d31f64f77a9bd012c7c19611b2025-02-03T01:04:47ZengWileyCase Reports in Rheumatology2090-68892090-68972020-01-01202010.1155/2020/30798693079869Pneumomediastinum as a Manifestation of Granulomatosis with PolyangiitisAhmed Alhazmi0Mohamed Moulaye Cheikh1Rola Yousef Hassan2Department of Medicine, Division of Rheumatology, King Fahad Armed Forces Hospital, Jeddah, Saudi ArabiaDoctor Soliman Fakeeh Hospital, Jeddah, Saudi ArabiaDepartment of Medicine, Division of Rheumatology, King Fahad Armed Forces Hospital, Jeddah, Saudi ArabiaA 38-year-old hypertensive male with a smoking history presented to the emergency room with significant hemoptysis, arthritis, and a purpuric rash. Other findings included a dropping hemoglobin and acute kidney injury with microscopic hematuria. The pulmonary computed tomography was significant for alveolar hemorrhage and a rarely reported pneumomediastinum. Along with this constellation of findings, a positive antiproteinase 3 helped to confirm this patient’s diagnosis of granulomatosis with polyangiitis. Treatment commenced with sessions of plasma exchange and pulse steroids along with cyclophosphamide infusions. The patient had since improved and made a full recovery. This case report highlights the rarely described pneumomediastinum in association with vasculitides.http://dx.doi.org/10.1155/2020/3079869 |
| spellingShingle | Ahmed Alhazmi Mohamed Moulaye Cheikh Rola Yousef Hassan Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis Case Reports in Rheumatology |
| title | Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis |
| title_full | Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis |
| title_fullStr | Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis |
| title_full_unstemmed | Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis |
| title_short | Pneumomediastinum as a Manifestation of Granulomatosis with Polyangiitis |
| title_sort | pneumomediastinum as a manifestation of granulomatosis with polyangiitis |
| url | http://dx.doi.org/10.1155/2020/3079869 |
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