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Multiple pulmonary micronodules in a patient with Crohn's disease

Multiple pulmonary micronodules in a patient with Crohn's disease
Multiple pulmonary micronodules in a patient with Crohn's disease

Sarcoidosis is a terrific mimicker and can present in many different ways. The case of a middle-aged woman with Crohn's disease who attended the gastroenterology clinic for routine follow-up is presented. She had dry cough and breathlessness for a few weeks. A chest x-ray showed scattered multiple bilateral pulmonary micronodules. This finding on her chest x-ray posed a diagnostic challenge, especially in view of the fact that she was previously treated with immunosuppressants to control her Crohn's disease. A diagnosis of sarcoidosis was established by various tests including lung biopsy, which showed non-caseating granulomas. Within a few weeks of beginning systemic steroid treatment, improvement was noticed in symptoms and lung function tests.

1757-790X
Abbas, S. A.
b6e56cea-2f4c-485c-a2fc-d62fb6160a7f
Syed, Y. I.
201b8667-29cd-481b-b5d0-2de598ae1527
Dushianthan, A.
013692a2-cf26-4278-80bd-9d8fcdb17751
Barry, S.
9de6d685-4931-4d91-97b3-e914a21c9322
Abbas, S. A.
b6e56cea-2f4c-485c-a2fc-d62fb6160a7f
Syed, Y. I.
201b8667-29cd-481b-b5d0-2de598ae1527
Dushianthan, A.
013692a2-cf26-4278-80bd-9d8fcdb17751
Barry, S.
9de6d685-4931-4d91-97b3-e914a21c9322

Abbas, S. A., Syed, Y. I., Dushianthan, A. and Barry, S. (2010) Multiple pulmonary micronodules in a patient with Crohn's disease. BMJ Case Reports. (doi:10.1136/bcr.01.2010.2666).

Record type: Article

Abstract

Sarcoidosis is a terrific mimicker and can present in many different ways. The case of a middle-aged woman with Crohn's disease who attended the gastroenterology clinic for routine follow-up is presented. She had dry cough and breathlessness for a few weeks. A chest x-ray showed scattered multiple bilateral pulmonary micronodules. This finding on her chest x-ray posed a diagnostic challenge, especially in view of the fact that she was previously treated with immunosuppressants to control her Crohn's disease. A diagnosis of sarcoidosis was established by various tests including lung biopsy, which showed non-caseating granulomas. Within a few weeks of beginning systemic steroid treatment, improvement was noticed in symptoms and lung function tests.

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Published date: 5 August 2010

Identifiers

Local EPrints ID: 445884
URI: http://eprints.soton.ac.uk/id/eprint/445884
ISSN: 1757-790X
PURE UUID: a9904500-9ba5-4176-a945-3f89aa7dcc24
ORCID for A. Dushianthan: ORCID iD orcid.org/0000-0002-0165-3359

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Date deposited: 13 Jan 2021 17:31
Last modified: 18 Feb 2021 17:36

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Contributors

Author: S. A. Abbas
Author: Y. I. Syed
Author: A. Dushianthan ORCID iD
Author: S. Barry

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