Extensive pulmonary sarcoid reaction in a patient with BMPR-2 associated idiopathic pulmonary arterial hypertension

Extensive pulmonary sarcoid reaction in a patient with BMPR-2 associated idiopathic pulmonary arterial hypertension

Authors

  • Evelien A.J.E. Braam Radboud University Medical Center
  • Marian J.R. Quanjel
  • Jolanda H.G.M. van Haren-Willems
  • Matthijs F.M. van Oosterhout
  • Aryan Vink
  • Yvonne F. Heijdra
  • Johanna M. Kwakkel-van Erp

Keywords:

Pulmonary arterial hypertension, Granulomatosis, Sarcoidosis, Lung transplant.

Abstract

Pulmonary arterial hypertension is a progressive life-threatening disease characterized by vascular remodeling. There is evidence that varied immune mechanism play an important role in progression of pulmonary hypertension.  We describe a case of a 35-year-old woman with idiopathic pulmonary arterial hypertension (IPAH) and a novel BMPR2 mutation, who underwent a successful lung transplantation.  Extensive granulomatous inflammation was seen in the resected lungs. The granulomatous inflammation found in the histology supports  a sarcoid-like reaction due to pulmonary hypertension in the context of the BMPR2 mutation. 

Author Biographies

Evelien A.J.E. Braam, Radboud University Medical Center

Department of Pulmonary Medicine, Radboud Medical Center, Nijmegen.

Marian J.R. Quanjel

Department of Pulmonary Medicine, University Medical Center Utrecht, Utrecht.

Jolanda H.G.M. van Haren-Willems

Department of Pulmonary Medicine, Radboud University Medical Center, Nijmegen.

Matthijs F.M. van Oosterhout

Department of Pathology, St. Antonius Hospital, Nieuwegein.

Aryan Vink

Department of Pathology, University Medical Center Utrecht, Utrecht.

Yvonne F. Heijdra

Department of Pulmonary Medicine, Radboud University Medical Centerl, Nijmegen.

Johanna M. Kwakkel-van Erp

Department of Pulmonary Medicine, University Medical Center Utrecht, Utrecht.

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Published

01-08-2016

Issue

Section

Case Reports

How to Cite

1.
Braam EA, Quanjel MJ, van Haren-Willems JH, van Oosterhout MF, Vink A, Heijdra YF, et al. Extensive pulmonary sarcoid reaction in a patient with BMPR-2 associated idiopathic pulmonary arterial hypertension. Sarcoidosis Vasc Diffuse Lung Dis [Internet]. 2016 Aug. 1 [cited 2025 Mar. 22];33(2):182-5. Available from: https://www.mattioli1885journals.com/index.php/sarcoidosis/article/view/4592