PMID- 30917433
OWN - NLM
STAT- MEDLINE
DCOM- 20190425
LR  - 20190425
IS  - 0578-1426 (Print)
IS  - 0578-1426 (Linking)
VI  - 58
IP  - 4
DP  - 2019 Apr 1
TI  - [The 469th case: multiple cutaneous abscesses, pelvic mass, and lung cavities].
PG  - 333-336
LID - 10.3760/cma.j.issn.0578-1426.2019.04.021 [doi]
AB  - A 28-year-old woman with multiple abscesses for 2 month and fever for 1 month was 
      admitted in Peking Union Medical College Hospital. The skin abscesses gradually 
      developed at skull, face, abdominal wall and pelvis. Laboratory examinations 
      related to inflammatory reactions were strongly high including erythrocyte 
      sedimentation rate 99 mm/1 h,C-reactive protein160.28 mg/L and ferritin 1 584 
      mug/L. Multiple nodules and cavities were detected in lungs. And vesico-cervical 
      fistula was found during exploratory laparotomy. The pathological tests of 
      abdominal tissues demonstrated necrosis and granuloma. Evidence of infectious 
      diseases was not definite. Positive anti-proteinase 3 (PR3) antibody confirmed 
      the diagnosis of granulomatosis with polyangiitis. After treated with 
      glucocorticoid and immunosuppressants, the patient's symptoms improved 
      remarkably. This case suggested that systemic vasculitis should be considered as 
      a differential diagnosis of multiple abscesses which are not explained by 
      infections.
FAU - Cao, X Y
AU  - Cao XY
AD  - Department of Rheumatology and Clinical Immunology, Peking Union Medical College 
      Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, 
      Beijing 100730, China.
FAU - Zhao, J L
AU  - Zhao JL
AD  - Department of Rheumatology and Clinical Immunology, Peking Union Medical College 
      Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, 
      Beijing 100730, China.
FAU - Zhou, Y Z
AU  - Zhou YZ
AD  - Department of Rheumatology and Clinical Immunology, Peking Union Medical College 
      Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, 
      Beijing 100730, China.
FAU - Zhou, B T
AU  - Zhou BT
AD  - Department of Infectious Diseases, Peking Union Medical College Hospital, Peking 
      Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, 
      China.
FAU - Wu, Q J
AU  - Wu QJ
AD  - Department of Rheumatology and Clinical Immunology, Peking Union Medical College 
      Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, 
      Beijing 100730, China.
FAU - Zeng, X F
AU  - Zeng XF
AD  - Department of Rheumatology and Clinical Immunology, Peking Union Medical College 
      Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, 
      Beijing 100730, China.
LA  - chi
PT  - Case Reports
PT  - Journal Article
PL  - China
TA  - Zhonghua Nei Ke Za Zhi
JT  - Zhonghua nei ke za zhi
JID - 16210490R
RN  - 0 (Immunosuppressive Agents)
SB  - IM
MH  - *Abscess
MH  - Adult
MH  - Blood Sedimentation
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Immunosuppressive Agents
MH  - Lung Diseases
MH  - *Skin
MH  - Skin Diseases
OTO - NOTNLM
OT  - Fever
OT  - Granulomatosis with polyangiitis
OT  - Multiple abscess
EDAT- 2019/03/29 06:00
MHDA- 2019/04/26 06:00
CRDT- 2019/03/28 06:00
PHST- 2019/03/28 06:00 [entrez]
PHST- 2019/03/29 06:00 [pubmed]
PHST- 2019/04/26 06:00 [medline]
AID - 10.3760/cma.j.issn.0578-1426.2019.04.021 [doi]
PST - ppublish
SO  - Zhonghua Nei Ke Za Zhi. 2019 Apr 1;58(4):333-336. doi: 
      10.3760/cma.j.issn.0578-1426.2019.04.021.