Acute pneumonitis or vasculitis? A severe case with multiple organ involvement

Submitted: 8 December 2014
Accepted: 15 December 2014
Published: 15 December 2015
Abstract Views: 1201
PDF: 763
HTML: 726
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

This report describes a case of a 37-year-old man affected by weakness, cough, fever and arthralgia for three months and a single episode of arthritis affecting the left ankle. The symptoms worsened and he was admitted to our hospital. First level blood tests showed an increase in inflammatory proteins, leukocytosis with eosinophilia, positive anti-neutrophil cytoplasm antibody (ANCA) and PR-3 ANCA antibodies, initial renal failure with elevation of creatinine and microscopic hematuria and initial proteinuria in the urine tests. As the chest x-ray revealed a perihilar pneumonitis with a well-defined margin area in the right lung, we started antibiotic therapy. The lung was studied with high-resolution chest computed tomography, which showed interstitial lung disease with more consolidative areas, some of which had a reverse halo sign. As clinical and laboratory data suggested a multiple organ involvement, second level tests were performed to look for the presence of systemic vasculitis.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

How to Cite

Laura, B., Mancini, C., Uccelli, M., Betri, E., & Marvisi, M. (2015). Acute pneumonitis or vasculitis? A severe case with multiple organ involvement. Italian Journal of Medicine, 9(4), 367–369. https://doi.org/10.4081/itjm.2015.572

List of Cited By :

Crossref logo