Weber-Christian Disease Developing into Mediastinitis and Pleuritis with Massive Pleural Effusion
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概要
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A 53-year-old man visited our hospital complaining of high fever. Chest computed tomography showed left pleural effusion and mediastinitis. He developed painful red subcutaneous nodules in his bilateral lower extremities. Thoracoscopy-assisted exploratory excision showed visceral pleura thickening; panniculitis in the periaortic area was histologically proven. The patient was treated with corticosteroid therapy which immediately reduced the fever. Subsequent imaging examinations after corticosteroid therapy showed improvement of mediastinitis and pleural effusion. This case reminds us that Weber-Christian disease (WCD) should be included in the differential diagnosis of mediastinitis although WCD is rarely associated with thoracic involvement.
著者
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Hanayama Yoshihisa
Department Of Medicine And Clinical Science Okayama University Graduate School Of Medicine Dentistry
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Koide Norio
Department Of Internal Medicine Okayama University School Of Medicine
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Kanamori Tatsuya
Department Of Rheumatology National Minami-okayama Hospital
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Hirasaki Shoji
Department of Endoscopy, Shikoku Cancer Center
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Murakami Kazutoshi
Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
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Mizushima Takaaki
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan
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Kanamori Tatsuya
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan
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