Weber-christian disease developing into mediastinitis and pleuritis with massive pleural effusion

Shoji Hirasaki, Kazutoshi Murakami, Tatsuya Kanamori, Takaaki Mizushima, Yoshihisa Hanayama, Norio Koide

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish
Pages (from-to)943-947
Number of pages5
JournalInternal Medicine
Volume51
Issue number8
DOIs
Publication statusPublished - 2012

Fingerprint

Nodular Nonsuppurative Panniculitis
Mediastinitis
Pleurisy
Pleural Effusion
Adrenal Cortex Hormones
Fever
Thorax
Panniculitis
Thoracoscopy
Pleura
Lower Extremity
Differential Diagnosis
Tomography
Therapeutics

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 journalArticle

Hirasaki, Shoji ; Murakami, Kazutoshi ; Kanamori, Tatsuya ; Mizushima, Takaaki ; Hanayama, Yoshihisa ; Koide, Norio. / Weber-christian disease developing into mediastinitis and pleuritis with massive pleural effusion. In: Internal Medicine. 2012 ; Vol. 51, No. 8. pp. 943-947.
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