PMC6339764_01
Gastric biopsy showing chronic gastritis with lymphoid aggregates and nonnecrotizing granulomatous inflammation with multinucleated giant cells.
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Biopsy of the ulcer revealed active chronic gastritis with lymphoid aggregates and nonnecrotizing granulomatous inflammation with multinucleated giant cells (Figure 1).
CT chest showing large necrotic mass.
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The CT chest showed two large necrotic masses (Figure 2): one in the right upper lobe with a cavitary lesion and the other in the mediastinum.
CT chest showing resolution of earlier chest lesion.
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There was a near-complete resolution of pulmonary masses on repeat CT (Figure 3) and complete healing of the ulcer on follow-up EGD.
Renal biopsy (LM) showing diffuse thickening of the glomerular basement membrane with normal cellularity.
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Renal biopsy showed diffuse thickening of the glomerular basement membrane (GBM) with normal cellularity on light microscopy (Figure 4).
Renal biopsy (immunofluorescence microscopy) showing diffuse, granular immunoglobulin deposition along GBM.
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Immunofluorescent microscopy showed diffuse, granular immunoglobulin deposition along GBM (Figure 5).
Renal biopsy (EM) showing subepithelial granular deposits.
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Electron micrograph (Figure 6) showed subepithelial granular deposits but no subendothelial deposits.