Onset of ANCA-positive EGPA with bilateral pleural effusion: a case report.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Current Medical Research and Opinion Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI:10.1080/03007995.2024.2427882
Alessandra Marchese, Rocco Accogli, Annalisa Frizzelli, Alessandro De Simoni, Olha Bondarenko, Roberta Pisi, Gaetano Caramori, Giovanna Pelà, Maria Majori, Letizia Gnetti, Agnese Aluia, Lorenzo D'Aloisio, Alfredo Chetta, Marina Aiello
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Abstract

Background: Eosinophilic granulomatosis with polyangiitis (EGPA) is a multisystemic, immune-mediated disease that occurs in patients with asthma and eosinophilia. It is characterized by inflammation of small- and medium-caliber blood vessels.

Case report: This report presents an unusual clinical case of EGPA with positive anti-neutrophil cytoplasmic antibodies who manifested bilateral pleural effusion. The diagnosis was confirmed through laboratory assessments and bronchial biopsies. The patient was treated with methylprednisolone showing improvement in symptoms.

Conclusions: Our case appear interesting considering the limited evidence of pleural effusion in patients with EGPA documented in the literature.

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ANCA 阳性 EGPA 发病伴双侧胸腔积液:病例报告。
简介嗜酸性粒细胞肉芽肿伴多血管炎(EGPA)是一种多系统、免疫介导的疾病,多发于哮喘和嗜酸性粒细胞增多症患者。病例报告:在本报告中,我们介绍了一例不寻常的 EGPA 临床病例,患者的抗中性粒细胞胞浆抗体呈阳性,表现为双侧胸腔积液。诊断是通过实验室评估和支气管活检确诊的。结论:考虑到文献中记载的 EGPA 患者胸腔积液的证据有限,我们的病例显得非常有趣。
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来源期刊
Current Medical Research and Opinion
Current Medical Research and Opinion 医学-医学:内科
CiteScore
4.40
自引率
4.30%
发文量
247
审稿时长
3-8 weeks
期刊介绍: Current Medical Research and Opinion is a MEDLINE-indexed, peer-reviewed, international journal for the rapid publication of original research on new and existing drugs and therapies, Phase II-IV studies, and post-marketing investigations. Equivalence, safety and efficacy/effectiveness studies are especially encouraged. Preclinical, Phase I, pharmacoeconomic, outcomes and quality of life studies may also be considered if there is clear clinical relevance
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