Presentation
The patient presents to the emergency department with anasarca and dyspnea. Upon investigation, he is found to have proteinuria and hematuria, as well as deep vein thrombosis of the lower limbs.
Patient Data
Age: 65 years
Gender: Male
From the case:
Granulomatosis with polyangiitis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/149351/annotated_viewer_json?lang=us"}
Bilateral ground glass and confluent irregular consolidation, with central and upper lobe predominance. There are some irregular cavitated lung nodules with thick walls.
Bilateral pleural effusions and ascites.
Case Discussion
The patient had very elevated C-ANCA levels, confirming the hypothesis of granulomatosis with polyangiitis. The lung findings of alveolar hemorrhage and cavitated nodules are typical. Pleural effusion and ascites are compatible with systemic congestion, secondary to nephrotic syndrome.
Unable to process the form. Check for errors and try again.