Granulomatosis With Polyangiitis Complicated by Diffuse Alveolar Hemorrhage, Splenic Infarction and Stroke

被引:1
作者
Zhang, Ke [1 ]
Makawi, Mohamed Salih [1 ]
Saab, Omar [1 ]
Elshakh, Hadya [2 ]
Trivedi, Priyank [2 ]
机构
[1] NewYork Presbyterian Queens Hosp, Internal Med, Flushing, NY USA
[2] NewYork Presbyterian Queens Hosp, Crit Care Med, Flushing, NY 11355 USA
关键词
vasculitis diagnosis; dah; cerebrovascular stroke; splenic infarction; granulomatosis with polyangiitis (gpa); WEGENERS-GRANULOMATOSIS; ATHEROSCLEROSIS; INVOLVEMENT; APPEARANCE;
D O I
10.7759/cureus.30102
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Granulomatosis with polyangiitis (GPA, formerly Wegener granulomatosis) is a type of small artery necrotizing vasculitis that presents with various organ manifestations and disease severity. The most commonly and severely affected organs include the nasopharynx, lungs, and kidneys. However, it can have atypical presentations and lead to misdiagnosis. Here we present a case report of a patient diagnosed with GPA complicated by diffuse alveolar hemorrhage (DAH), splenic infarctions, and stroke.
引用
收藏
页数:6
相关论文
共 50 条
[41]   Increased ischemic stroke, acute coronary artery disease and mortality in patients with granulomatosis with polyangiitis and microscopic polyangiitis [J].
Mourguet, M. ;
Chauveau, D. ;
Faguer, S. ;
Ruidavets, J. B. ;
Bejot, Y. ;
Ribes, D. ;
Huart, A. ;
Alric, L. ;
Balardy, L. ;
Astudillo, L. ;
Adoue, D. ;
Sailler, L. ;
Pugnet, G. .
JOURNAL OF AUTOIMMUNITY, 2019, 96 :134-141
[42]   Dupilumab-induced Eosinophilic Granulomatosis with Polyangiitis Complicated by Peripheral Neuropathic Pain: a Case Report and Literature Review [J].
Wu, Jiajun ;
Li, Linlin ;
Ten, Weidong ;
Wang, Yuchen ;
Liu, Ruiqi ;
Hu, Binbin ;
Tan, Jun ;
Dong, Feilin ;
Shi, Kaiwen ;
Zhang, Haibo ;
Su, Lizhong ;
Hu, Weiming .
JOURNAL OF CLINICAL IMMUNOLOGY, 2025, 45 (01)
[43]   Presentation and Management of Life-threatening Lesion in Left Orbit Complicated by Granulomatosis with Polyangiitis [J].
Majid, Iyad ;
Martel, James B. ;
Martel, Brandon ;
Martel, Melanie .
OCULAR IMMUNOLOGY AND INFLAMMATION, 2023, 31 (09) :1884-1886
[44]   A case of severe psittacosis pneumonia complicated by splenic infarction [J].
Yu, Zhao ;
Qian, Yuanyuan ;
Lv, Lan ;
Hu, Wenqing .
BMC INFECTIOUS DISEASES, 2024, 24 (01)
[45]   Acute pancreatitis complicated by splenic infarction: Case report [J].
Chen, CP ;
Chen, CY ;
Lu, CL ;
Chang, FY ;
Lee, SD .
ADVANCES IN THERAPY, 1999, 16 (06) :257-262
[46]   Diffuse alveolar hemorrhage: Causes and outcomes in are ferral center [J].
Buendia-Roldan, Ivette ;
Carmen, Navarro ;
Rojas-Serrano, Jorge .
REUMATOLOGIA CLINICA, 2010, 6 (04) :196-198
[47]   Diffuse Alveolar Hemorrhage and Pulmonary Vasculitides: Histopathologic Findings [J].
Scapa, Jason V. ;
Fishbein, Gregory A. ;
Wallace, W. Dean ;
Fishbein, Michael C. .
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2018, 39 (04) :425-433
[48]   Extracorporeal Membrane Oxygenation in the Management of Diffuse Alveolar Hemorrhage [J].
Abrams, Darryl ;
Agerstrand, Cara L. ;
Biscotti, Mauer ;
Burkart, Kristin M. ;
Bacchetta, Matthew ;
Brodie, Daniel .
ASAIO JOURNAL, 2015, 61 (02) :216-218
[49]   Successful application of extracorporeal membrane oxygenation due to pulmonary hemorrhage secondary to granulomatosis with polyangiitis [J].
Hohenforst-Schmidt, Wolfgang ;
Petermann, Arndt ;
Visouli, Aikaterini ;
Zarogoulidis, Paul ;
Darwiche, Kaid ;
Kougioumtzi, Ioanna ;
Tsakiridis, Kosmas ;
Machairiotis, Nikolaos ;
Ketteler, Markus ;
Zarogoulidis, Konstantinos ;
Brachmann, Johannes .
DRUG DESIGN DEVELOPMENT AND THERAPY, 2013, 7 :627-633
[50]   MRI appearance of pulmonary Wegener's granulomatosis with concomitant splenic infarction [J].
Kalaitzoglou, I ;
Drevelengas, A ;
Palladas, P ;
Asimaki, A .
EUROPEAN RADIOLOGY, 1998, 8 (03) :367-370