An Atypical Case of Non-asthmatic Eosinophilic Granulomatosis with Polyangiitis Finally Diagnosed by Tissue Biopsy.


Journal

Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241

Informations de publication

Date de publication:
15 Mar 2019
Historique:
pubmed: 20 11 2018
medline: 6 5 2019
entrez: 20 11 2018
Statut: ppublish

Résumé

A 78-year-old woman with fever of unknown origin that had persisted for 3 months, systemic edema, and cervical lymphadenopathy was admitted to our hospital. Skin purpura and jaw claudication were subsequently observed. Histopathological examinations of the lymph nodes, skin, and temporal artery revealed findings characteristic of eosinophilic granulomatosis with polyangiitis (EGPA). However, she had no past medical history of asthma with modest eosinophilia. Although EGPA is a systemic vasculitis characterized by asthma and eosinophilia, various limited forms have been described. This was therefore considered to be an atypical form of non-asthmatic EGPA complicating with temporal arteritis (TA) diagnosed by tissue biopsy.

Identifiants

pubmed: 30449779
doi: 10.2169/internalmedicine.1167-18
pmc: PMC6465012
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

871-875

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Auteurs

Tomoki Kobayashi (T)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Keishi Kanno (K)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Yuka Kikuchi (Y)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Masaki Kakimoto (M)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Akihiro Kawahara (A)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Kazuki Kimura (K)

Department of Community Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan.

Ryoko Ishida (R)

Department of Community Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan.

Daisuke Miyamori (D)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Yuichiro Otani (Y)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Nobusuke Kishikawa (N)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

Susumu Tazuma (S)

Department of General Internal Medicine, Hiroshima University Hospital, Japan.

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