Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

Case Report: A COVID-19 Mimic

Andrea Ramirez-Gomez, MD, & Katherine Kougias Temprano, MD  |  Issue: September 2020  |  

Andrea Ramirez-Gomez, MDAndrea Ramirez-Gomez, MD, is a second-year rheumatology fellow at Washington University School of Medicine, St. Louis.

Katherine Kougias Temprano, MDKatherine Kougias Temprano, MD, is a rheumatologist with BJC Medical Group, Saint Louis.

ADVERTISEMENT
SCROLL TO CONTINUE

References

  1. Bao C, Liu X, Zhang H, Li Y, Liu J. Coronavirus Disease 2019 (COVID-19) CT findings: A systematic review and meta-analysis. J Am Coll Radiol. 2020 Jun;17(6):701–709.
  2. Bernheim A, Mei X, Huang M, et al. Chest CT findings in Coronavirus Disease-19 (COVID-19): Relationship to duration of infection. Radiology. 2020 Jun;295(3):200463.
  3. Thompson GE, Specks U. Update on the management of respiratory manifestations of the antineutrophil cytoplasmic antibodies-associated vasculitides. Clin Chest Med. 2019 Sep;40(3):573–582.
  4. Lohrmann C, Uhl M, Kotter E, et al. Pulmonary manifestations of Wegener granulomatosis: CT findings in 57 patients and a review of the literature. Eur J Radiol. 2005 Mar;53(3):471–477.
  5. Martinez F, Chung JH, Digumarthy SR, et al. Common and uncommon manifestations of Wegener granulomatosis at chest CT: Radiologic-pathologic correlation. Radiographics. 2012 Jan–Feb;32(1):51–69.
  6. Cordier JF, Cottin V, Lazor R, Thivolet-Béjui F. Many faces of bronchiolitis and organizing pneumonia. Semin Respir Crit Care Med. 2016 Jun;37(3):421–440.
  7. Shalin K, Wajihuddin S, Hess M. Bronchiolotis obliterans-organizing pneumonia-like variant of granulomatosis with polyangiitis. Chest [Practice Management and Administration.] 2015 Oct;148(4 suppl): 878A.

Related Articles
    Figure 2: Renal Biopsy

    The Classification & Diagnosis of Granulomatosis with Polyangiitis

    Based on the classification system developed by the Chapel Hill Consensus Conference, anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis is defined as a necrotizing vasculitis involving small vessels that is associated with myeloperoxidase (MPO) ANCA or proteinase 3 (PR3) ANCA and displays minimal immune deposits. The mechanism behind the pathogenesis of ANCA-associated vasculitis is not fully…

    A CT scan of the chest showing multifocal ground-glass opacities, representative of hemorrhage, with numerous nodular interstitial opacities primarily within a peribronchovascular distribution.

    Hemoptysis in a Young Indian Male

    A 22-year-old Indian male presented to the emergency department with hemoptysis. A month prior, he had presented to an urgent care center complaining of cough with occasional episodes of blood-tinged sputum in the morning. He was diagnosed with community-acquired pneumonia based on a chest X-ray without laboratory testing and was prescribed levofloxacin. A few days…

    Case Report: MPA Hiding in Plain Sight

    The COVID-19 pandemic has filled hospitals with patients with rapidly progressive respiratory failure and diffuse bilateral opacities on chest X-ray.1 Additionally, many patients with severe COVID-19 develop acute kidney injury and require dialysis.2 Pulmonary-renal syndromes are also important to consider in this setting. Although alveolar hemorrhage is a cardinal feature of this syndrome, many patients…