[Mediastinal tuberculous lymphadenitis in a chronic renal failure patient with elevated serum pro-GRP level].
A 56-year-old man treated by peritoneal dialysis was admitted to our hospital because of abnormal shadows on chest radiographs. Chest CT revealed enlarged paraaortic lymph nodes (30 mm x 40 mm) and a tuberculoma in the left upper lobe. The serum level of pro-GRP was significantly above the cutoff value, but tuberculous mediastinal lymphadenopathy was identified from mediastinal lymph node biopsy specimens. We concluded that the elevation of the serum pro-GRP concentration was due to decreased renal clearance resulting from the chronic renal failure.
Takahashi
Tsuyoshi
T
Department of Pulmonology, Nagahama City Hospital.
Noguchi
Tetsuo
T
Ono
Nobuhiro
N
Kamakari
Kunihiko
K
Terada
Yasuji
Y
D003937:Diagnosis, Differential; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010446:Peptide Fragments / Q000097:blood*; D010455:Peptides / Q000097:blood*; D011994:Recombinant Proteins / Q000097:blood*; D014388:Tuberculosis, Lymph Node / Q000097:blood / Q000209:etiology*
D010446:Peptide Fragments; D010455:Peptides; D011994:Recombinant Proteins; C087079:pro-gastrin-releasing peptide (31-98)