EJMCR. 2019; 3(2): 45-48

Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report

Authors: Yosra Ben Ariba, Yosra Fekih, Mohamed Salah Hamdi, Jannet Laabidi, Bassem Louzir.

ABSTRACT

Background: Pulmonary involvement in Goodpasture's syndrome is exceptionally isolated without renal impairment. Usual lung damage includes alveolar hemorrhage resulting in pulmonary-renal syndrome. Isolated and atypical lung involvement can precede kidneys damage. Case presentation: We report the case of an 80 year-old man admitted for dyspnea related to a tumor-like lung lesion which malignant nature we were unable to confirm. Three months later, the patient presented acute renal failure with rapidly progressive glomerulonephritis leading to the diagnosis of anti-glomerular basement membrane disease while the lung lesion remained stable. He received corticosteroid and immunosuppressive therapy with partially favorable renal outcome and complete regression of the lung lesion. Conclusion: Slight modifications of the urinary sediment should be sought in case of lung abnormalities. Anti-glomerular basement membrane antibodies must be considered in case of any kidney damage associated with pulmonary involvement even if atypical.

Keywords:
Goodpasture's syndrome, pulmonary alveolar hemorrhage, rapidly progressive glomerulonephritis, crescentic glomerulonephritis, lung mass, case report.


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Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report


Authors
Yosra Ben Ariba
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury. Tunisia
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Yosra Fekih
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
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Mohamed Salah Hamdi
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
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Jannet Laabidi
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
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Bassem Louzir
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
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Correspondence to:
. Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury. Tunisia; hamdimohamed.salah@yahoo.fr

Publication history
Received 21 Jul 2018
Revised 19 Dec 2018
Accepted 22 Feb 2019
Published in print 29 May 2019

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Pubmed Style

Ariba YB, Fekih Y, Hamdi MS, Laabidi J, Louzir B. Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. EJMCR. 2019; 3(2): 45-48. doi:10.24911/ejmcr/173-1532191802


Web Style

Ariba YB, Fekih Y, Hamdi MS, Laabidi J, Louzir B. Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. http://www.ejmcr.com/?mno=2076 [Access: October 18, 2019]. doi:10.24911/ejmcr/173-1532191802


AMA (American Medical Association) Style

Ariba YB, Fekih Y, Hamdi MS, Laabidi J, Louzir B. Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. EJMCR. 2019; 3(2): 45-48. doi:10.24911/ejmcr/173-1532191802


Vancouver/ICMJE Style

Ariba YB, Fekih Y, Hamdi MS, Laabidi J, Louzir B. Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. EJMCR. (2019), [cited October 18, 2019]; 3(2): 45-48. doi:10.24911/ejmcr/173-1532191802


Harvard Style

Ariba, Y. B., Fekih, . Y., Hamdi, . M. S., Laabidi, . J. & Louzir, . B. (2019) Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. EJMCR, 3 (2), 45-48. doi:10.24911/ejmcr/173-1532191802


Turabian Style

Ariba, Yosra Ben, Yosra Fekih, Mohamed Salah Hamdi, Jannet Laabidi, and Bassem Louzir. 2019. Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. European Journal of Medical Case Reports, 3 (2), 45-48. doi:10.24911/ejmcr/173-1532191802


Chicago Style

Ariba, Yosra Ben, Yosra Fekih, Mohamed Salah Hamdi, Jannet Laabidi, and Bassem Louzir. "Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report." European Journal of Medical Case Reports 3 (2019), 45-48. doi:10.24911/ejmcr/173-1532191802


MLA (The Modern Language Association) Style

Ariba, Yosra Ben, Yosra Fekih, Mohamed Salah Hamdi, Jannet Laabidi, and Bassem Louzir. "Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report." European Journal of Medical Case Reports 3.2 (2019), 45-48. Print. doi:10.24911/ejmcr/173-1532191802


APA (American Psychological Association) Style

Ariba, Y. B., Fekih, . Y., Hamdi, . M. S., Laabidi, . J. & Louzir, . B. (2019) Tumor-like lung lesion revealing Goodpasture's Syndrome in an elderly patient: a case report. European Journal of Medical Case Reports, 3 (2), 45-48. doi:10.24911/ejmcr/173-1532191802


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