Chronic Eosinophilic Pneumonia Masquerading as a Lung Mass

Lung masses are becoming more common, and although most are tumors, benign or malignant, some are not solid masses. Many pathologies can present as lung nodules, including lung cancers, hamartomas, lung abscesses, granulomas, and eosinophilic pneumonia, to name a few. A 40-year-old woman with a long history of smoking presented with cough and left-sided chest pain. After multiple imaging studies, she was thought to have a lung malignancy; however, multiple biopsies proved this was not the case. The histology reports of 3 to 4 biopsies at separate times indicated chronic inflammation ongoing in the lungs without any cancer cells present. She was treated for chronic eosinophilic pneumonia with a resolution of symptoms. The purpose of this case report is to discuss a case that was initially thought to be a lung mass but found to be chronic eosinophilic pneumonia manifesting as a lung mass.

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Active rheumatoid arthritis with multiple pulmonary nodules failure to multiple remissive therapy: Which is the solution?

Romanian Journal of Rheumatology ◽

10.37897/rjr.2021.3.7 ◽

2021 ◽

Vol 30 (3) ◽

pp. 125-128

Author(s):

Ileana Cosmina Filipescu ◽

◽

Milena Man ◽

Simona Rednic ◽

◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Active Rheumatoid Arthritis ◽

Pulmonary Nodules ◽

Lung Nodules ◽

Imaging Studies ◽

Disease Modifying Antirheumatic Drugs ◽

Antirheumatic Drugs ◽

History Of ◽

Disease Modifying ◽

Anti Fungal

We describe the case of a 63-year-old nonsmoker woman, with a long history of active seropositive rheumatoid arthritis, failure to multiple disease-modifying antirheumatic drugs due to both loss of efficacy and adverse drug reaction. She was exposed to silicon dust some years ago and has many pulmonary nodules, revealed by imaging studies as multiple cavitary lung nodules. Her initial pathological samples were negative for any infections and treatment against tuberculosis and anti-fungal therapy did not improve the appearance of the nodules. After an extensive reevaluation of pulmonary nodules, the Baricitinib treatment was started.

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The Risk of Immunosuppression: A Case of Salmonella Meningitis

Case Reports in Infectious Diseases ◽

10.1155/2018/4874575 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Joshua Dower ◽

David P. Lerner ◽

Tamar Geva ◽

Kenneth Wener

Keyword(s):

Rheumatoid Arthritis ◽

Bacterial Meningitis ◽

Immunosuppressive Therapy ◽

Leg Pain ◽

Imaging Studies ◽

Source Of Infection ◽

Multiple Imaging ◽

Tnf Antagonist ◽

History Of ◽

Salmonella Meningitis

Salmonella meningitis is a rare infection, particularly in adults. We report the case of a 75-year-old female with a history of rheumatoid arthritis on TNF-antagonist immunosuppressive therapy who initially presented to the hospital for management of back and leg pain and was ultimately diagnosed with bacterial meningitis secondary to Salmonella species infection. She was treated with ceftriaxone with slow improvement in neurological function. Though the source of infection was never clearly identified from multiple imaging studies, we suspect the severity of her presentation was due to her history of TNF-antagonist use.

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Chronic Eosinophilic Pneumonia: A Case Report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1995.32.5.733 ◽

1995 ◽

Vol 32 (5) ◽

pp. 733

Author(s):

Hae Jeong Jeon ◽

Jeong Hee Park ◽

Jong Nam Lim ◽

Tae Haeng Heo ◽

Hyun Jun Shin

Keyword(s):

Case Report ◽

Eosinophilic Pneumonia ◽

Chronic Eosinophilic Pneumonia

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Chronic Eosinophilic Pneumonia: Treatment with Inhaled Corticosteroids

Respiration ◽

10.1159/000072898 ◽

2003 ◽

Vol 70 (4) ◽

pp. 362-366 ◽

Cited By ~ 20

Author(s):

Masayoshi Minakuchi ◽

Akio Niimi ◽

Hisako Matsumoto ◽

Ryoichi Amitani ◽

Michiaki Mishima

Keyword(s):

Inhaled Corticosteroids ◽

Eosinophilic Pneumonia ◽

Chronic Eosinophilic Pneumonia

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Episodic versus Chronic Dizziness: An Analysis of Predictive Factors

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211025416 ◽

2021 ◽

pp. 000348942110254

Author(s):

Eric J. Formeister ◽

Ricky Chae ◽

Emily Wong ◽

Whitney Chiao ◽

Lauren Pasquesi ◽

...

Keyword(s):

Multivariate Regression ◽

Treatment Options ◽

Depression And Anxiety ◽

Imaging Studies ◽

Comorbid Depression ◽

Cross Sectional ◽

Tertiary Center ◽

Chronic Dizziness ◽

Associated Symptoms ◽

History Of

Objectives: To elucidate differences in demographic and clinical characteristics between patients with episodic and chronic dizziness. Methods: A cross-sectional, observational study of 217 adults referred for dizziness at 1 tertiary center was undertaken. Subjects were split into a chronic dizziness group (>15 dizzy days per month) and an episodic dizziness group (<15 dizzy days per month). Results: 217 adults (average age, 53.7 years; 56.7% female) participated. One-third (n = 74) met criteria for chronic dizziness. Dizziness handicap inventory (DHI) scores were significantly higher in those with chronic dizziness compared to those with episodic dizziness (53.9 vs 40.7; P < .001). Comorbid depression and anxiety were more prevalent in those with chronic dizziness (44.6% and 47.3% vs 37.8% and 35.7%, respectively; P > .05). Abnormal vestibular testing and abnormal imaging studies did not differ significantly between the 2 groups. Ménière’s disease and BPPV were significantly more common among those with episodic dizziness, while the prevalence of vestibular migraine did not differ according to chronicity of symptoms. A multivariate regression that included age, sex, DHI, history of anxiety and/or depression, associated symptoms, and dizziness triggers was able to account for 15% of the variance in the chronicity of dizziness (pseudo- R2 = 0.15; P < .001). Conclusions: Those who suffer from chronic dizziness have significantly higher DHI and high comorbid rates of depression and anxiety than those with episodic dizziness. Our findings show that factors other than diagnosis alone are important in the chronification of dizziness, an observation that could help improve on multimodal treatment options for this group of patients.

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