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Revista americana de medicina respiratoria
versão On-line ISSN 1852-236X
Resumo
GARRO, María Manuela; CHURIN, Lisandro e QUADRELLI, Silvia. Atypical Expression of Rare Disease Manifested with Cavitary Lung Nodules. Rev. am. med. respir. [online]. 2023, vol.23, n.1, pp.119-121. ISSN 1852-236X. http://dx.doi.org/10.56538/ramr.dyec1676.
Lung nodules can vary in nature: solid, ground glass, granulomatous or non-granulo matous, cavitary or non-cavitary. They are a common finding in chest imaging when the patient comes to the consultation. According to their characteristics and the patient’s history (medical history, physical examination, and laboratory results), they guide us towards different etiologies: infectious, autoimmune, or oncological. However, many times it is a great clinical challenge.
We present the case of a young patient with no previous medical history who came to the consultation with a cough of 3 months of evolution. The chest CT showed left mediastinal mass displacing the trachea and bilateral cavitary lung nodules. After rul ing out more probable etiologies based on frequency for the patient’s age and clinical manifestation, the diagnosis was: classic nodular sclerosing Hodgkin lymphoma with extranodal involvement. A very rare disease, and in our case, with an atypical form of presentation.
Palavras-chave : Lung nodules; Etiological study; Hodgkin lymphoma.