Simultaneous Occurrence of Sarcoidosis and Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis in a Patient with Lung Cancer

A 71-year-old woman with abnormal pulmonary shadows and multiple enlarged thoracic lymph nodes was diagnosed with stage IIB lung adenocarcinoma, pulmonary sarcoidosis, and sarcoidosis-associated lymphadenopathy after biopsies from multiple organ sites. She also had rapidly progressive renal dysfunct...

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Published inInternal Medicine Vol. 58; no. 22; pp. 3299 - 3304
Main Authors Tsuchiya, Kazuo, Karayama, Masato, Sato, Taichi, Yasui, Hideki, Hozumi, Hironao, Suzuki, Yuzo, Furuhashi, Kazuki, Enomoto, Noriyuki, Fujisawa, Tomoyuki, Nakamura, Yutaro, Inui, Naoki, Sugimura, Haruhiko, Yasuda, Hideo, Suda, Takafumi
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 15.11.2019
Japan Science and Technology Agency
Subjects
Adenocarcinoma
Adenocarcinoma of Lung - complications
Aged
anti-neutrophil cytoplasmic antibody-associated vasculitis
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - complications
Antibodies, Antineutrophil Cytoplasmic - immunology
Antineutrophil cytoplasmic antibodies
Biopsy
Case Report
crescentic glomerulonephritis
Female
Glomerulonephritis
Glomerulonephritis - etiology
Hematuria
Humans
Internal medicine
Lung cancer
Lung Neoplasms - complications
Lymph nodes
Lymphadenopathy
Nephritis
Nephritis, Interstitial - etiology
Neutrophils
Peroxidase
Prednisolone
Renal function
Sarcoidosis
Sarcoidosis - complications
Thorax
Vasculitis
lung cancer
adenocarcinoma
anti-neutrophil cytoplasmic antibody-associated vasculitis
sarcoidosis
crescentic glomerulonephritis
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Abstract A 71-year-old woman with abnormal pulmonary shadows and multiple enlarged thoracic lymph nodes was diagnosed with stage IIB lung adenocarcinoma, pulmonary sarcoidosis, and sarcoidosis-associated lymphadenopathy after biopsies from multiple organ sites. She also had rapidly progressive renal dysfunction, microhematuria, and high myeloperoxidase anti-neutrophil cytoplasmic antibody (MPO-ANCA) concentrations. A renal biopsy revealed granulomatous tubulointerstitial nephritis and necrotizing glomerulonephritis with crescent formation. She was diagnosed with nephritis caused by both sarcoidosis and ANCA-associated vasculitis. Oral prednisolone was administered to treat her nephritis, resulting in improvement in both her renal dysfunction and her sarcoidosis-associated lymphadenopathy.
AbstractList A 71-year-old woman with abnormal pulmonary shadows and multiple enlarged thoracic lymph nodes was diagnosed with stage IIB lung adenocarcinoma, pulmonary sarcoidosis, and sarcoidosis-associated lymphadenopathy after biopsies from multiple organ sites. She also had rapidly progressive renal dysfunction, microhematuria, and high myeloperoxidase anti-neutrophil cytoplasmic antibody (MPO-ANCA) concentrations. A renal biopsy revealed granulomatous tubulointerstitial nephritis and necrotizing glomerulonephritis with crescent formation. She was diagnosed with nephritis caused by both sarcoidosis and ANCA-associated vasculitis. Oral prednisolone was administered to treat her nephritis, resulting in improvement in both her renal dysfunction and her sarcoidosis-associated lymphadenopathy.
Author Nakamura, Yutaro
Inui, Naoki
Suda, Takafumi
Furuhashi, Kazuki
Sugimura, Haruhiko
Sato, Taichi
Enomoto, Noriyuki
Suzuki, Yuzo
Karayama, Masato
Tsuchiya, Kazuo
Fujisawa, Tomoyuki
Yasui, Hideki
Hozumi, Hironao
Yasuda, Hideo
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crossref_primary_10_1038_s41598_022_05129_7
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10.1007/s10067-018-4177-0
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Keywords lung cancer
adenocarcinoma
anti-neutrophil cytoplasmic antibody-associated vasculitis
sarcoidosis
crescentic glomerulonephritis
Language English
License The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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Correspondence to Dr.　Masato Karayama, karayama@hama-med.ac.jp
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SubjectTerms Adenocarcinoma
Adenocarcinoma of Lung - complications
Aged
anti-neutrophil cytoplasmic antibody-associated vasculitis
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - complications
Antibodies, Antineutrophil Cytoplasmic - immunology
Antineutrophil cytoplasmic antibodies
Biopsy
Case Report
crescentic glomerulonephritis
Female
Glomerulonephritis
Glomerulonephritis - etiology
Hematuria
Humans
Internal medicine
Lung cancer
Lung Neoplasms - complications
Lymph nodes
Lymphadenopathy
Nephritis
Nephritis, Interstitial - etiology
Neutrophils
Peroxidase
Prednisolone
Renal function
Sarcoidosis
Sarcoidosis - complications
Thorax
Vasculitis
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Title Simultaneous Occurrence of Sarcoidosis and Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis in a Patient with Lung Cancer
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