A 13.5 yr. old female with ulcerative colitis (UC) diagnosed a year prior, presented at a local hospital emergency room with a 1 month history of abdominal pain and diarrhea that progressed to frank hematochezia. Her symptoms were also associated with fever, night sweats, malaise, decreased appetite and weight loss CT examination (before therapy) : A chest and abdominal CT scan showed a 4 cm nodule in the lingula and 2 smaller nodules in the left lower lobe. In addition, a CT-guided biopsy of the lingular mass showed no malignancy, but marked alveolar inflammation.
Laboratory examination: The patient was also PPD negative, and all cultures, including blood, sputum and lung tissue for bacteria, atypical mycobacteria, virus and fungal organisms were negative. Pulmonary F unctions Examination : Showed mild obstructive, but no restrictive lung disease. A transbronchial biopsy of the…
