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"Pulmonary hyalinizing granuloma" is a lesion characterized by keloid-like fibrosis in the lung and is not granulomatous. Similarly, radiologists often use the term granuloma when they see a calcified nodule on X-ray or CT scan of the chest. They make this assumption since granulomas usually contain calcium, although the cells that form a ...
Focal necrotizing vasculitis, necrotizing granulomas in the lung and upper airway, necrotizing glomerulonephritis: Granulomatosis with polyangiitis: Hakim Triad [1] (Adams Triad) Urinary incontinence, Gait disturbance, Dementia: Normal pressure hydrocephalus: Triad (Triad of Sandblom) Malena, Obstructive jaundice, Biliary colic: Hemobilia ...
These granulomas are the main reason for the name granulomatosis with polyangiitis, although it is not an essential feature. Nevertheless, necrotizing granulomas are a hallmark of this disease. However, many biopsies can be nonspecific and 50% provide too little information for the diagnosis of GPA. [12]
Standard bronchoscopy usually shows chronic inflammation of lung tissue, and granulomas with poorly-defined margins. [1] Lung biopsy usually reveals non-necrotizing granulomatous inflammation. [7] It also shows "foamy" macrophages and crystals of oxalic acid. [3] Hyperplasia tends to occur in type 1 pneumocytes and not in type 2 pneumocytes. [3]
The commonest abnormality on lung function testing is a decrease in gas transfer. [2] Both obstructive and restrictive patterns on spirometry have been reported. [2] The differential diagnosis includes infection, other interstitial lung diseases and malignant disease including lymphoma.
Differential diagnosis [ edit ] The signs and symptoms of microscopic polyangiitis may resemble those of granulomatosis with polyangiitis (GPA) (another form of small-vessel vasculitis) but typically lacks the significant upper respiratory tract involvement (e.g., sinusitis ) frequently seen in people affected by GPA.
Diagnosis of berylliosis is based on history of beryllium exposures, documented beryllium sensitivity, and granulomatous inflammation on lung biopsy. Given the invasive nature of a lung biopsy, diagnosis can also be based on clinical history consistent with berylliosis, abnormal chest x-ray or CT scan findings, and abnormalities in pulmonary ...
The World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) is an organisation of physicians involved in the diagnosis and treatment of sarcoidosis and related conditions. [171] WASOG publishes the journal Sarcoidosis, Vasculitis and Diffuse Lung Diseases. [172]