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- Title
Necrobiotic Pulmonary Nodules in Ulcerative Colitis: Not Just a "Crohnic" Phenomenon.
- Authors
Mukherjee, Samiran; Harne, Prateek; Mirchia, Kanish; Sharma, Anuj; Manocha, Divey
- Abstract
Necrobiotic pulmonary nodules are an exceptionally rare extraintestinal manifestation of inflammatory bowel disease. Recognition is imperative because it may mimic other autoimmune pathologies such as granulomatosis with polyangiitis or sarcoidosis. We describe a 19-year-old man with a known history of ulcerative colitis who was found to possess bilateral pulmonary nodules on computed tomography imaging. Investigations that included an extensive autoimmune and infectious workup were inconclusive. Biopsy of the nodules revealed fibrinous exudate and palisading histiocytes that confirmed the diagnosis. He was started on prednisone therapy. A follow-up computed tomography a month later revealed near complete resolution.
- Subjects
COMPUTED tomography; INFLAMMATORY bowel diseases; PREDNISONE; RARE diseases; ULCERATIVE colitis; NECROBIOTIC disorders; SOLITARY pulmonary nodule
- Publication
ACG Case Reports Journal, 2020, Vol 7, Issue 8, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000000438