title: [Henoch-Schönlein Purpura with lung abscess].
abstract: A 72-year-old man had underwent left lower lobectomy for squamous cell carcinoma in our hospital in 2008. Postoperative stage was I A (T1N0M0). In 2010, follow-up chest computed tomography (CT) images showed similar cavitary nodules in segments 2 and 8 of the right lung with positive uptake on fluorodeoxyglucose-positron emission tomography (FDG-PET) images. Physical examination, blood tests, and levels of serum tumor markers showed no abnormality. Transbronchial lung biopsy revealed the absence of malignant cells. Segment 8 of the right lower lobe with the nodule was partially resected, and pathological examination demonstrated lung abscess. He was discharged but was hospitalized in another hospital for purpuric rash, fever, and arthralgia. Microscopic albuminuria was noted, and renal biopsy revealed nephritis with immunoglobulin A( IgA)deposition. He was made a diagnosis of Henoch-Schönlein purpura. Oral steroid therapy( prednisolone 60 mg/d) was initiated, resulting in the improvement of symptoms and disapearance of the cavitary nodule in the right lung segment 2.
authors.affiliation: Department of Cardiovascular and General Thoracic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
authors.forename: Junji
authors.initials: J
authors.lastname: Nakazawa
authors.forename: Atsushi
authors.initials: A
authors.lastname: Watanabe
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakajima
authors.forename: Taijiro
authors.initials: T
authors.lastname: Mishina
authors.forename: Masahiro
authors.initials: M
authors.lastname: Miyajima
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Higami
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis; D008169:Lung Abscess / Q000150:complications* / Q000175:diagnosis; D008175:Lung Neoplasms / Q000175:diagnosis; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*