Pulmonary granulomatous necrotizing vasculitis: an extra-intestinal manifestation of ulcerative colitis or Wegener's granulomatosis?

Respiratory symptoms are rare manifestations of ulcerative colitis as well as intestinal manifestations in Wegener granulomatosis. We report the case of a 17-year old man previously diagnosed as having ulcerative colitis who presented with diffuse thoracic pain. Hypermetabolic pulmonary nodules were...

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Published inRevue médicale de Bruxelles Vol. 32; no. 2; pp. 93 - 97
Main Authors Ouazzani, A, Sokolow, Y, Hanebaly, M, Rondelet, B, Patino, M Ruiz, Remmelink, M, Jacobovitz, D, Cappello, M, Cogan, E
Format Journal Article
LanguageFrench
Published Belgium 01.03.2011
Subjects
Adolescent
Colitis, Ulcerative - complications
Granuloma - etiology
Granuloma - pathology
Granulomatosis with Polyangiitis - complications
Humans
Lung Diseases - etiology
Lung Diseases - pathology
Male
Necrosis
Vasculitis - etiology
Vasculitis - pathology
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Summary:Respiratory symptoms are rare manifestations of ulcerative colitis as well as intestinal manifestations in Wegener granulomatosis. We report the case of a 17-year old man previously diagnosed as having ulcerative colitis who presented with diffuse thoracic pain. Hypermetabolic pulmonary nodules were discovered at the positron emission tomographic scan. Necrotizing granulomatous vasculitis was demonstrated at lung biopsy. In this paper, we describe the association between pulmonary nodules and ulcerative colitis and we discuss the possibility of an overlap syndrome between ulcerative colitis and Wegener granulomatosis.
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ISSN:0035-3639