Because of nonspecific presentation diagnosis is frequently delayed. It usually involves large airways and presents clinically and radiologically with nonspecific features. Mucoepidermoid carcinoma (MEC) is an uncommon primary lung tumor. Jain, Akanksha Madan, Neha Kawatra Arava, Sudheer Pandey, Durgatosh Madan, Karan He was admitted to investigate the change in mental status and to initiate the work-up and treatment of hypercalcemia.ĭelayed diagnosis of endobronchial mucoepidermoid carcinoma in a 29- year-old male During the initial evaluation in the emergency department, he was noted to have a serum calcium level of 13.8 mg/dL. He was a resident of a local nursing home because of several chronic illnesses. PMID:29719830Ī 55- year-old male presented to the AHEC Southwest Family Medicine Residency inpatient medicine service at Wadley Regional Medical Center in Texarkana, Texas, with a recent history of decreased level of consciousness. We report a case of biopsy-confirmed Churg-Strauss syndrome in a 92- year-old male with a history of eosinophilic asthma and peripheral eosinophilia who was later diagnosed with Churg-Strauss syndrome. Most patients are diagnosed at around the age of 40. It is commonly associated with asthma and eosinophilia. Kroshinsky, DanielaĬhurg-Strauss syndrome or eosinophilic granulomatosis with polyangiitis is a systemic vasculitis affecting the small and medium-sized vasculature. A 92- Year-Old Male with Eosinophilic Asthma Presenting with Recurrent Palpable Purpuric Plaques
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