Pulmonary hyalinizing granuloma and retroperitoneal fibrosis in an adolescent.
We describe a 15-year-old boy who developed pulmonary hyalinizing granuloma (PHG) and retroperitoneal fibrosis (RPF). His PHG and RPF were not associated with histoplasmosis or tuberculosis and appeared to represent idiopathic autoimmune phenomena. This is the first reported case of PHG in a pediatric patient and the fourth reported co-occurrence of PHG and RPF. The use of F-18 fluorodeoxyglucose positron emission tomography in the diagnostic and follow-up evaluation of PHG is reported.
Young
Adam S
AS
Children's Radiological Institute, Columbus Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Binkovitz
Larry A
LA
Adler
Brent H
BH
Nicol
Kathleen K
KK
Rennebohm
Robert M
RM
D000293:Adolescent; D001706:Biopsy; D003937:Diagnosis, Differential; D019788:Fluorodeoxyglucose F18; D005938:Glucocorticoids / Q000627:therapeutic use; D006099:Granuloma / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D006818:Hyalin; D008171:Lung Diseases / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D019275:Radiopharmaceuticals; D012185:Retroperitoneal Fibrosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18; D011241:Prednisone; D008775:Methylprednisolone