Cavitary lung nodules as an extraintestinal manifestation of ulcerative colitis.
Publication
, Journal Article
Paul, N; Lazarev, M; Montemayor, K; Horne, AJ
Published in: BMJ Case Rep
September 23, 2022
A man in his 30s with ulcerative colitis (UC) on immunosuppressive agents and extensive travel history presented with subacute dyspnoea and dry cough. CT of the chest demonstrated numerous cavitary pulmonary nodules. An extensive infectious, malignant and autoimmune evaluation was pursued, ultimately with histopathology most consistent with necrobiotic lung nodules as an extraintestinal manifestation of UC. Steroids and ustekinumab were initiated with improvement in symptoms and resolution of cavitary lesions on follow-up imaging. In a patient with inflammatory bowel disease and cavitary lung lesions, necrobiotic lung nodules should be considered, particularly when evaluation for infectious causes is negative.
Duke Scholars
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Published In
BMJ Case Rep
DOI
EISSN
1757-790X
Publication Date
September 23, 2022
Volume
15
Issue
9
Location
England
Related Subject Headings
- Ustekinumab
- Multiple Pulmonary Nodules
- Male
- Lung
- Inflammatory Bowel Diseases
- Immunosuppressive Agents
- Humans
- Colitis, Ulcerative
- 42 Health sciences
- 32 Biomedical and clinical sciences
Citation
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Chicago
ICMJE
MLA
NLM
Paul, N., Lazarev, M., Montemayor, K., & Horne, A. J. (2022). Cavitary lung nodules as an extraintestinal manifestation of ulcerative colitis. BMJ Case Rep, 15(9). https://doi.org/10.1136/bcr-2022-251976
Paul, Nicole, Mark Lazarev, Kristina Montemayor, and Alexandra J. Horne. “Cavitary lung nodules as an extraintestinal manifestation of ulcerative colitis.” BMJ Case Rep 15, no. 9 (September 23, 2022). https://doi.org/10.1136/bcr-2022-251976.
Paul N, Lazarev M, Montemayor K, Horne AJ. Cavitary lung nodules as an extraintestinal manifestation of ulcerative colitis. BMJ Case Rep. 2022 Sep 23;15(9).
Paul, Nicole, et al. “Cavitary lung nodules as an extraintestinal manifestation of ulcerative colitis.” BMJ Case Rep, vol. 15, no. 9, Sept. 2022. Pubmed, doi:10.1136/bcr-2022-251976.
Paul N, Lazarev M, Montemayor K, Horne AJ. Cavitary lung nodules as an extraintestinal manifestation of ulcerative colitis. BMJ Case Rep. 2022 Sep 23;15(9).
Published In
BMJ Case Rep
DOI
EISSN
1757-790X
Publication Date
September 23, 2022
Volume
15
Issue
9
Location
England
Related Subject Headings
- Ustekinumab
- Multiple Pulmonary Nodules
- Male
- Lung
- Inflammatory Bowel Diseases
- Immunosuppressive Agents
- Humans
- Colitis, Ulcerative
- 42 Health sciences
- 32 Biomedical and clinical sciences