Chin Melanie, Leblanc Aaron, Souza Carolina, Gomes Marcio M, Ivory Catherine, Midzic Ines, Mulpuru Sunita
Division of Respirology, Department of Medicine, University of Ottawa, Canada.
The Ottawa Hospital, Ottawa, Canada.
Respir Med Case Rep. 2019 Sep 15;28:100933. doi: 10.1016/j.rmcr.2019.100933. eCollection 2019.
We describe the case of a previously healthy male patient who presented to a respiratory clinic with sinusitis, pulmonary cavities, and hemoptysis. Three weeks following a diagnosis of Granulomatosis with Polyangiitis (GPA) and initiation of immunosuppressive treatment, the patient suddenly developed a large pneumothorax that was complicated by empyema. In this report we discuss and highlight the rare pleural complications associated with GPA, and alert clinicians to monitor for these important complications even after disease-modifying treatment is initiated.
我们描述了一名既往健康的男性患者的病例，该患者因鼻窦炎、肺空洞和咯血就诊于呼吸科诊所。在诊断为肉芽肿性多血管炎（GPA）并开始免疫抑制治疗三周后，患者突然出现大量气胸，并并发脓胸。在本报告中，我们讨论并强调了与GPA相关的罕见胸膜并发症，并提醒临床医生即使在开始疾病改善治疗后也要监测这些重要并发症。
