Original article | Volume 26, Article 173, 27 Mar 2017 | 10.11604/pamj.2017.26.173.12195

Pseudotumoral form of granulomatosis with polyangiitis

Fadwa Mekouar, Naoual El Omri

Corresponding author: Naoual El Omri, Internal Medicine Department, Mohammed V Military Teaching Hospital, Rabat, Morocco

Received: 07 Mar 2017 - Accepted: 10 Mar 2017 - Published: 27 Mar 2017

Domain: Internal medicine,Pulmonology

Keywords: Cough, granulomatosis with polyangiitis, ANCA

©Fadwa Mekouar et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Fadwa Mekouar et al. Pseudotumoral form of granulomatosis with polyangiitis. Pan African Medical Journal. 2017;26:173. [doi: 10.11604/pamj.2017.26.173.12195]

Available online at: https://www.panafrican-med-journal.com/content/article/26/173/full

Home | Volume 26 | Article number 173

Original article

Pseudotumoral form of granulomatosis with polyangiitis

Pseudotumoral form of granulomatosis with polyangiitis

Fadwa Mekouar1,&, Naoual El Omri1

 

1Internal Medicine Department, Mohammed V Military Teaching Hospital, Rabat, Morocco

 

 

&Corresponding author
Naoual El Omri, Internal Medicine Department, Mohammed V Military Teaching Hospital, Rabat, Morocco

 

 

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A 65-year-old woman, non-smoker presented with a two-month history of cough. She also complained of arthralgia and weight loss. The clinical examination revealed a febrile patient. The chest radiograph and the scanner revealed right upper lobar mass, with spiculated contours (A, B). Biology showed an inflammatory syndrome. Polymerase chain reaction for Mycobacterium tuberculosis and tumor markers was negative. A lung biopsy showed non caseous granulomatous vasculitis. The cytoplasmic antineutrophil cytoplasmic antibody (cANCA/PR3/ANCA) showed a positive result; Wegener's granulomatosis was finally confirmed. The patient was treated with prednisone and cyclophosphamide with favorable outcome. A follow-up chest radiography two weeks after treatment showed resolving pulmonary lesions (C).

Figure 1: A) chest radiography revealed right upper lobar mass, with spiculated contour; B) chest scanner revealed right upper lobar mass, with spiculated contours; C) chest radiography two weeks after treatment showed resolving pulmonary lesions

 

 

 

 

 

 

 

 

Original article

Pseudotumoral form of granulomatosis with polyangiitis

Original article

Pseudotumoral form of granulomatosis with polyangiitis

Original article

Pseudotumoral form of granulomatosis with polyangiitis

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