Nodular pulmonary amyloidosis and Sjögren's syndrome in a patient treated with intermittent hemodialysis
Identifieur interne : 002A89 ( Istex/Curation ); précédent : 002A88; suivant : 002A90Nodular pulmonary amyloidosis and Sjögren's syndrome in a patient treated with intermittent hemodialysis
Auteurs : Leszek Niepolski [Pologne] ; Alicja E. Grzegorzewska ; Janusz Szyma [Pologne]Source :
- Hemodialysis International [ 1492-7535 ] ; 2007-10.
Abstract
In the available literature, we have found the descriptions of 5 cases of nodular pulmonary amyloidosis associated with Sjögren's syndrome. In our practice, such a case has occurred in a patient with chronic renal failure. A 53‐year‐old woman underwent nephrological, rheumatological, and pulmonological examinations because of end‐stage renal disease with a small cirrhotic kidney in renal ultrasound examination, pulmonary nodules, and xerophthalmia. Serological data revealed a slightly positive rheumatoid factor, antinuclear antibodies, anti‐SS‐A, anti‐SS‐B, and anti‐RNP/Sm antibodies. Schirmer's test was positive on both sides and Sjögren's syndrome was recognized. Pulmonological examinations (the chest radiograph and CT scan, bronchofiberoscopy, culture of bronchial washings, bronchial biopsy, pleural effusion analysis, and a thick‐needle biopsy) failed to determine the etiology of nodular changes in lungs. Immunofluorescence studies in the skin biopsy specimen showed IgM‐positive staining. After 2 years of treatment with IHD, a toracoscopy was performed with enucleation of the nodules from the right lung. Histological examination showed massive deposits of amyloid, which allowed for a diagnosis of diffusive nodular pulmonary amyloidosis.
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DOI: 10.1111/j.1542-4758.2007.00209.x
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Alicja E. Grzegorzewska<affiliation><mods:affiliation>Department of Nephrology, Transplantology and Internal Diseases</mods:affiliation><wicri:noCountry code="subField">Diseases</wicri:noCountry></affiliation>Le document en format XML
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Grzegorzewska</name><affiliation><mods:affiliation>Department of Nephrology, Transplantology and Internal Diseases</mods:affiliation><wicri:noCountry code="subField">Diseases</wicri:noCountry></affiliation></author><author><name sortKey="Szyma, Janusz" sort="Szyma, Janusz" uniqKey="Szyma J" first="Janusz" last="Szyma">Janusz Szyma</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Pathology, Karol Marcinkowski University of Medical Sciences, Poznań, Poland</mods:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Clinical Pathology, Karol Marcinkowski University of Medical Sciences, Poznań</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:7A0159B6D5D9E61C977A84B1786396926BC85819</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1111/j.1542-4758.2007.00209.x</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-RMXWTXTC-3/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">002A89</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002A89</idno><idno type="wicri:Area/Istex/Curation">002A89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Nodular pulmonary amyloidosis and Sjögren's syndrome in a patient treated with intermittent hemodialysis</title><author><name sortKey="Niepolski, Leszek" sort="Niepolski, Leszek" uniqKey="Niepolski L" first="Leszek" last="Niepolski">Leszek Niepolski</name><affiliation wicri:level="1"><mods:affiliation>B. Braun Avitum Poland Dialysis Center, Nowy Tomyśl, Poland</mods:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>B. Braun Avitum Poland Dialysis Center, Nowy Tomyśl</wicri:regionArea></affiliation></author><author><name sortKey="Grzegorzewska, Alicja E" sort="Grzegorzewska, Alicja E" uniqKey="Grzegorzewska A" first="Alicja E." last="Grzegorzewska">Alicja E. 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In our practice, such a case has occurred in a patient with chronic renal failure. A 53‐year‐old woman underwent nephrological, rheumatological, and pulmonological examinations because of end‐stage renal disease with a small cirrhotic kidney in renal ultrasound examination, pulmonary nodules, and xerophthalmia. Serological data revealed a slightly positive rheumatoid factor, antinuclear antibodies, anti‐SS‐A, anti‐SS‐B, and anti‐RNP/Sm antibodies. Schirmer's test was positive on both sides and Sjögren's syndrome was recognized. Pulmonological examinations (the chest radiograph and CT scan, bronchofiberoscopy, culture of bronchial washings, bronchial biopsy, pleural effusion analysis, and a thick‐needle biopsy) failed to determine the etiology of nodular changes in lungs. Immunofluorescence studies in the skin biopsy specimen showed IgM‐positive staining. After 2 years of treatment with IHD, a toracoscopy was performed with enucleation of the nodules from the right lung. Histological examination showed massive deposits of amyloid, which allowed for a diagnosis of diffusive nodular pulmonary amyloidosis.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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