Case Report
Volume: 3 | Issue: 2 | Published: Jan 01, 1970 | Pages: 45 - 48 | DOI: 10.24911/ejmcr/173-1532191802
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
Article Info
Authors
Yosra Ben Ariba
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury. Tunisia
Yosra Fekih
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
Mohamed Salah Hamdi
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
Jannet Laabidi
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
Bassem Louzir
Internal Medicine Department, Principal Military Hospital of Instructions of Tunis, 1008 Tunis, Montfleury, Tunisia
Publication History
Received: July 21, 2018
Revised: December 19, 2018
Accepted: February 22, 2019
Published: January 01, 1970
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, green
