Evidence map›Paper›PMID 39507156›Full record

ArticleCureus2024

Granulomatosis With Polyangiitis (GPA) Mimicking Metastatic Malignancy.

Abraham Mohan, Supriya M Kuriakose, Lijo James, Bindu T G, Suman Jangra, Alisha T Jose, Deepu M

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Abraham MohanRheumatology, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.
Supriya M KuriakoseOtorhinolaryngology and Audiology, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.
Lijo JamesNeurology, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.
Bindu T GLaboratory, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.
Suman JangraNuclear Medicine, DDNMRC PET Scans Pvt. Ltd., Kottayam, IND.
Alisha T JoseLaboratory, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.
Deepu MPulmonology, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Granulomatosis with polyangiitis is a rare vasculitis characterized by necrotizing granulomatous inflammation affecting small blood vessels. It often presents with pulmonary masses and nodules, mimicking malignancy in imaging studies. Distinguishing granulomatosis with polyangiitis from cancer is crucial due to differing treatment approaches and prognoses. We describe a 54-year-old male with granulomatosis with polyangiitis presenting with headache, bilateral ear discharge, cough, and weight loss. Imaging revealed metabolically active lesions in the lungs and nasopharynx, initially suggestive of metastatic malignancy. Biopsies from the lung and nasopharyngeal lesions showed necrotizing granulomatous vasculitis, which was suggestive of granulomatosis with polyangiitis. Serological testing was positive for cytoplasmic antineutrophil cytoplasmic antibodies (c-ANCA) with elevated proteinase 3 (PR3) antibodies. This case underscores the diagnostic challenges of granulomatosis with polyangiitis, which can mimic malignancy radiologically. Early recognition and treatment initiation are pivotal in improving patient outcomes and preventing organ damage in granulomatosis with polyangiitis.

Indexed as

acute suppurative otitis mediac-anca and pr3 anca antibodiesmetastatic malignancynecrotizing granulomatous vasculitispansinusitis

Identifiers

PMID39507156
PMCPMC11540042

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.