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A case of multiple nodular pulmonary amyloidosis complicated with primary Sjogren syndrome]
Authors:Shigeki Nakamura  Yoshitsugu Miyazaki  Tomo Mihar  Masafumi Seki  Koichi Izumikawa  Katsunori Yanagihara  Hideaki Ohno  Yasuhito Higashiyama  Youichi Hirakata  Yoshifumi Soejima  Takayoshi Tashiro  Shigeru Kohno
Institution:National Hospital Organizaion Ureshino Medical Hospital.
Abstract:A 79-year-old woman was admitted to the Department of Orthopedics Surgery for treatment of osteoarthritis in her knee. Multiple pulmonary nodular lesions were found on preoperative chest x-ray film screening. Metastatic lung tumor was suspected, but no tumorous lesions were detected in other organs. CT guided lung biopsy was performed. Histopathological examination revealed amyloid consisting of homogenous eosinophilic materials. No amyloid deposits were detected in other organs, so we diagnosed localized nodular pulmonary amyloidosis. She was subsequently given a diagnosis of primary Sj?gren syndrome. We believe that such a case of multiple nodular pulmonary amyloidosis with Sj?gren syndrome is rare, and the case showed interesting radiological findings, such as mimicking metastatic lung tumor.
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