Radiotherapy for a pulmonary aspergilloma complicating p-ANCA positive small vessel vasculitis.
Life-threatening haemoptysis may complicate aspergillomas within pre-existing lung cavities. Treatment options have included lung resection, pulmonary or bronchial artery embolisation and antifungal therapy administered either systemically or by endobronchial or percutaneous instillation. We present a case of aspergilloma complicating small vessel vasculitis, and its successful treatment using radiotherapy.
Glover
S
S
Sussex Kidney Unit, Royal Sussex County Hospital, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK. glover_sarah@yahoo.com <glover_sarah@yahoo.com>
Holt
S G
SG
Newman
G H
GH
Kingdon
E J
EJ
D019268:Antibodies, Antineutrophil Cytoplasmic / Q000032:analysis*; D001228:Aspergillosis / Q000150:complications / Q000532:radiotherapy*; D006469:Hemoptysis / Q000150:complications / Q000532:radiotherapy*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014657:Vasculitis / Q000150:complications* / Q000532:radiotherapy
D019268:Antibodies, Antineutrophil Cytoplasmic