[A case of recurrent bilateral pneumonia with fever. Diagnosis: microscopic polyangiitis].
Microscopic polyangiitis (MPA) is a rare systemic disease that usually presents as a pulmonary-renal syndrome. We describe 35-year-old men who presented with hemoptysis and bilateral alveolar opacities of the upper part of both lungs. The CT scan showed alveolar and round-glass opacities with a "mosaic-like" pattern. Bronchoalveolar lavage confirmed pulmonary hemorrhage. Renal biopsy was indicated because proteinuria revealed extracapillary glomerulonephritis. Laboratory tests showed a high level of serum antimyeloperoxidase-antineutrophil cytoplasmic antibody. We made a diagnosis of MPA. Cyclophosphamide and corticosteroid therapy was instituted and remission achieved. Through this case report, we discuss the diversity of the radio-clinical features of MPA.
Msaad
S
S
Service de Pneumo-Allergologie, CHU Hedi-Chaker, Sfax 3029, Tunisia.
Yangui
I
I
Ben Amira
S
S
Kammoun
K
K
Boudawara
T
T
Ayoub
A
A
D000328:Adult; D005334:Fever / Q000209:etiology*; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000209:etiology*; D011658:Pulmonary Fibrosis / Q000175:diagnosis; D012008:Recurrence; D014657:Vasculitis / Q000175:diagnosis*