Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Granulomatosis with polyangiitis (GPA)
- Radiologic Findings
- Fig 1. Chest PA shows several nodular opacities in Lt lung.
Fig 2-8. CT scans reveals multiple nodular opacities and consolidations in both lungs. Lesions show enhancement. Some nodules showed well defined margin and consolidation showed irregular shape.
- Brief Review
- Granulomatosis with polyangiitis (GPA) was confirmed through surgical wedge resection. Five months after diagnosis, the patient complained of left eye swelling. An orbital MRI revealed an enhancing infiltrative lesion in the left orbital apex fat and diffuse mucoepithelial thickening with heterogeneous enhancement in bilateral paranasal sinuses. Surgical biopsy confirmed GPA involvement.
Granulomatosis with polyangiitis (GPA), formerly known as Wegener granulomatosis, is an antineutrophil cytoplasmic antibody (ANCA)
- References
- 1. Guzman-Soto MI et al., Radiographics. 2021 Nov-Dec;41(7):1973-1991. doi: 10.1148/rg.2021210132.
2. Ananthakrishnan L et al., Am J Roentgenol. 2009 Mar;192(3):676-82. doi: 10.2214/AJR.08.1837.
- Keywords
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