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Case Report
Eosinophilic granulomatosis with polyangiitis: Not all infiltrates are pneumonia
1 OMS-4, Burrell College of Osteopathic Medicine, Las Cruces, NM, USA
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Tyler Everett Wilson
OMS-4, Burrell College of Osteopathic Medicine, Las Cruces, NM,
USA
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Article ID: 100055Z09TW2020
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Wilson TE, Tersakyan S. Eosinophilic granulomatosis with polyangiitis: Not all infiltrates are pneumonia. J Case Rep Images Med 2020;6:100055Z09TW2020.ABSTRACT
Introduction: In the presence of pulmonary infiltrates, eosinophilic granulomatosis with polyangiitis may be hidden behind more obvious diagnoses. The disease can take up to several decades to progress to its end stages. However, if caught early, recovery and remission are possible.
Case Report: We present the case of a 55-year-old Caucasian female with a 20-year history of asthma along with multiple episodes of pneumonia. Lab results at the time of presentation showed marked eosinophilia in her blood, which prompted further investigation and the possible differential diagnoses. Additionally, we discuss the various diagnostic tests and management strategies that were employed by her medical team.
Conclusion: With the initial stages of eosinophilic granulomatosis with polyangiitis frequently mimicking more common pulmonary diseases, the diagnosis is often overlooked and delayed. As such, eosinophilic granulomatosis with polyangiitis should be considered as a possible differential diagnosis, despite seemingly clear signs of a more common disease.
Keywords: Asthma, Eosinophilia, Eosinophilic granulomatosis with polyangiitis, Pneumonia
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Acknowledgments
Thank you to Dr. Sivakumar Nagaraju, MD for his dedication to and patience with his students.
Author ContributionsTyler Everett Wilson - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sarven Tersakyan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest
Copyright© 2020 Tyler Everett Wilson et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
