Abstract

A young house wife presented with low grade fever, cough, haemoptysis and SOB of unknown aetiology for 40 days duration. Respiratory system examination revealed diffuse crepts and rhonchi. Other organ system examination did not reveal any abnormality. X-ray chest PA view and CT thorax showed diffuse bilateral necrotising nodular lesions of various sizes with small pleural effusion. She also had low resting oxygen saturation with falling haematocrit. Her Serum was week positive for p-ANCA and negative for MPO-ANCA. Bronchoscopy revealed continuous bloody aspirates. We could not isolate any organisms in any of the specimens from her and she was unresponsive to any of the antibiotics either. Based on the clinical, laboratory data, radiological features and positive outcome to pulse therapy of methylprednisolone and cyclophosphamide, she was diagnosed as a case of IPIPC.

Details

Title
Isolated pauci-immune pulmonary capillaritis
Author
Mehrotra, Ashok; Gupta, Prahlad; Khublani, Trilok; Anupam, A.; Soni, Shridha; Feroz, Asif
Pages
56-59
Publication year
2015
Publication date
Jan-Feb 2015
Publisher
Medknow Publications & Media Pvt. Ltd.
ISSN
09702113
e-ISSN
0974598X
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1642670983
Copyright
Copyright Medknow Publications & Media Pvt Ltd Jan-Feb 2015