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Nodular pulmonary amyloidosis mimicking metastatic pulmonary nodules : a case report and review of the literature
Amyloidosis is a disorder characterised by the extracellular deposition of amyloid, a fibrillary protein, in various organs such as the lungs. Pulmonary nodular amyloidosis can mimic other lung conditions that present with pulmonary nodules, such as metastasis, sarcoidosis and hyalinising granuloma....
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Published in: | Sultan Qaboos University medical journal 2018-08, Vol.18 (3), p.393-396 |
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creator | al-Umayri, Rashid Sayf al-Bu Saidi, Fadilah Muhammad al-Lawati, Fatimah |
description | Amyloidosis is a disorder characterised by the extracellular deposition of amyloid, a fibrillary protein,
in various organs such as the lungs. Pulmonary nodular amyloidosis can mimic other lung conditions that present
with pulmonary nodules, such as metastasis, sarcoidosis and hyalinising granuloma. We report a 60-year-old man
who presented to the Royal Hospital, Muscat, Oman, in 2017 with a history of shortness of breath upon exertion,
orthopnoea and bilateral lower limb swelling. A chest X-ray showed bilateral nodular opacities. Enhanced chest
computed tomography revealed bilateral pulmonary nodules with a predominantly perilymphatic and subpleural
distribution, giving the impression of a neoplastic nodule. A histopathological examination of biopsied lung tissue
confirmed a diagnosis of nodular pulmonary amyloidosis. |
doi_str_mv | 10.18295/squmj.2018.18.03.023 |
format | article |
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in various organs such as the lungs. Pulmonary nodular amyloidosis can mimic other lung conditions that present
with pulmonary nodules, such as metastasis, sarcoidosis and hyalinising granuloma. We report a 60-year-old man
who presented to the Royal Hospital, Muscat, Oman, in 2017 with a history of shortness of breath upon exertion,
orthopnoea and bilateral lower limb swelling. A chest X-ray showed bilateral nodular opacities. Enhanced chest
computed tomography revealed bilateral pulmonary nodules with a predominantly perilymphatic and subpleural
distribution, giving the impression of a neoplastic nodule. A histopathological examination of biopsied lung tissue
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in various organs such as the lungs. Pulmonary nodular amyloidosis can mimic other lung conditions that present
with pulmonary nodules, such as metastasis, sarcoidosis and hyalinising granuloma. We report a 60-year-old man
who presented to the Royal Hospital, Muscat, Oman, in 2017 with a history of shortness of breath upon exertion,
orthopnoea and bilateral lower limb swelling. A chest X-ray showed bilateral nodular opacities. Enhanced chest
computed tomography revealed bilateral pulmonary nodules with a predominantly perilymphatic and subpleural
distribution, giving the impression of a neoplastic nodule. A histopathological examination of biopsied lung tissue
confirmed a diagnosis of nodular pulmonary amyloidosis.</description><subject>Airway management</subject><subject>Calcification</subject><subject>Case reports</subject><subject>Dyspnea</subject><subject>Edema</subject><subject>Medical imaging</subject><subject>Online Case Report</subject><subject>Patients</subject><subject>Respiratory system</subject><issn>2075-051X</issn><issn>2075-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1v1DAQhiMEolXpTyiyxIXLLv6IP8IBCVXQVqrgAhI3a-KMt16SeNdOivrv8e6WVYsvY71-5tWM9VbVBaNLZngjP-TtPKyXnDJThCUVS8rFi-qUUy0XVHLz8nhnv06q85zXtBxhtGLydXUiqKKaG3Vabb_Fbu4hkc3cD3GE9EBgeOhj6GIOmQxhCO53GFdkwAnyBFNwT9Bx14yZfCRAHGQkCTcxTQTGrlzvA_4h0ZPpDkkfJkwwzQnfVK889BnPH-tZ9fPrlx-X14vb71c3l59vF040clqwhhknXMO096JllHlUUnTQqgalVJp65xulJZdYm1Ja5bnntWw8l-AlF2fVzcG3i7C2mxSGMrGNEOxeiGllIZV1erRCtb52AjU0uuauMaL2reEOUCtQoIvXp4PXZm4H7ByOU4L-menzlzHc2VW8t0pQreq6GLx_NEhxO2Oe7BCyw76HEeOcLWeqZpQaRQv67j90Hec0lq_aUYIz1pgdJQ-USzHnhP44DKN2nxG7z4jdZaQIlgpbMlL63j7d5Nj1LxEFuDgAWHT0cCSMFEJx8RenqsT3</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>al-Umayri, Rashid Sayf</creator><creator>al-Bu Saidi, Fadilah Muhammad</creator><creator>al-Lawati, Fatimah</creator><general>Sultan Qaboos University, College of Medicine and Health Sciences</general><general>Sultan Qaboos University</general><general>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180801</creationdate><title>Nodular pulmonary amyloidosis mimicking metastatic pulmonary nodules : a case report and review of the literature</title><author>al-Umayri, Rashid Sayf ; 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in various organs such as the lungs. Pulmonary nodular amyloidosis can mimic other lung conditions that present
with pulmonary nodules, such as metastasis, sarcoidosis and hyalinising granuloma. We report a 60-year-old man
who presented to the Royal Hospital, Muscat, Oman, in 2017 with a history of shortness of breath upon exertion,
orthopnoea and bilateral lower limb swelling. A chest X-ray showed bilateral nodular opacities. Enhanced chest
computed tomography revealed bilateral pulmonary nodules with a predominantly perilymphatic and subpleural
distribution, giving the impression of a neoplastic nodule. A histopathological examination of biopsied lung tissue
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subjects | Airway management Calcification Case reports Dyspnea Edema Medical imaging Online Case Report Patients Respiratory system |
title | Nodular pulmonary amyloidosis mimicking metastatic pulmonary nodules : a case report and review of the literature |
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