Pulmonary hyalinizing granuloma with hydronephrosis.
A 49-year-old man was admitted for the evaluation of a bilateral mass shadow in his chest X-ray film. No definitive diagnosis was established either by brushing cytology or biopsy through bronchoscopy. No malignancies were suggested by general work-up. Both masses were surgically removed, and were diagnosed as pulmonary hyalinizing granuloma (PHG). Fifteen months later, low grade fever continued and the renal function decreased. Laboratory examinations revealed bilateral hydronephrosis with polyclonal hypergammaglobulinemia. The findings of abdominal CT and urography were compatible with retroperitoneal fibrosis. Steroid treatment completely reversed the initial abnormality in laboratory data and the symptoms disappeared.
Hashimoto
Seiji
S
Department of Nephrology, Sapporo City General Hospital, Hokkaido.
Fujii
Wataru
W
Takahashi
Tatsurou
T
Shiroshita
Koichi
K
Sakurai
Tetsuo
T
Ueda
Takahiro
T
Kawata
Tetsuya
T
D005938:Glucocorticoids / Q000627:therapeutic use; D015769:Granuloma, Respiratory Tract / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D006818:Hyalin / Q000378:metabolism; D006869:Hydronephrosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D013902:Radiography, Thoracic; D012185:Retroperitoneal Fibrosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D005938:Glucocorticoids; D011239:Prednisolone