Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 943-947 |
| Number of pages | 5 |
| Journal | Internal Medicine |
| Volume | 51 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2012 |
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Keywords
- Exploratory excision
- Panniculitis
- Periaortitis
- Pleurisy
- Thoracoscopy
ASJC Scopus subject areas
- Internal Medicine
Cite this
Weber-christian disease developing into mediastinitis and pleuritis with massive pleural effusion. / Hirasaki, Shoji; Murakami, Kazutoshi; Kanamori, Tatsuya; Mizushima, Takaaki; Hanayama, Yoshihisa; Koide, Norio.
In: Internal Medicine, Vol. 51, No. 8, 2012, p. 943-947.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Weber-christian disease developing into mediastinitis and pleuritis with massive pleural effusion
AU - Hirasaki, Shoji
AU - Murakami, Kazutoshi
AU - Kanamori, Tatsuya
AU - Mizushima, Takaaki
AU - Hanayama, Yoshihisa
AU - Koide, Norio
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Exploratory excision
KW - Panniculitis
KW - Periaortitis
KW - Pleurisy
KW - Thoracoscopy
UR - http://www.scopus.com/inward/record.url?scp=84859809596&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859809596&partnerID=8YFLogxK
U2 - 10.2169/internalmedicine.51.6760
DO - 10.2169/internalmedicine.51.6760
M3 - Article
C2 - 22504256
AN - SCOPUS:84859809596
VL - 51
SP - 943
EP - 947
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 8
ER -