@article{3122931, title = "An 80-Year-Old Man With Hemoptysis and Unilateral Patchy Opacities", author = "Tomos, I. and Tsilika, M. and Aggelou, E. and Karageorgas, T. and Tsiodras, S.", journal = "Journal of Chest Surgery", year = "2018", volume = "154", number = "5", pages = "e135-e138", publisher = "HANLEY & BELFUS-ELSEVIER INC", doi = "10.1016/j.chest.2018.05.009", keywords = "diltiazem; hemosiderin; hydrochlorothiazide; irbesartan; myeloperoxidase; neutrophil cytoplasmic antibody; ranitidine; cyclophosphamide; hemoglobin; immunosuppressive agent; methylprednisolone; neutrophil cytoplasmic antibody, aged; arthritis; Article; case report; clinical article; clinical feature; computer assisted tomography; congestive heart failure; crackle; dyspnea; fatigue; fever; hemoptysis; human; hypertension; kidney cancer; lung disease; lung hemorrhage; malaise; male; microscopic polyangiitis; nephrectomy; priority journal; proteinuria; smoking; thorax pain; thorax radiography; unilateral patchy opacity; urinalysis; very elderly; blood; bronchoscopy; diagnostic imaging; differential diagnosis; dyspnea; fluorescent antibody technique; hemoptysis; immunology; kidney failure; kidney function test; lung; lung alveolus; microscopic polyangiitis; pathology; pathophysiology; procedures; treatment outcome; x-ray computed tomography, Aged, 80 and over; Antibodies, Antineutrophil Cytoplasmic; Bronchoscopy; Cyclophosphamide; Diagnosis, Differential; Dyspnea; Fluorescent Antibody Technique; Hemoglobins; Hemoptysis; Humans; Immunosuppressive Agents; Kidney Function Tests; Lung; Male; Methylprednisolone; Microscopic Polyangiitis; Pulmonary Alveoli; Renal Insufficiency; Tomography, X-Ray Computed; Treatment Outcome", abstract = "Case Presentation: An 80-year-old man presented with a 5-day history of hemoptysis, mild shortness of breath on exertion, fatigue, and malaise. He denied chest pain or fever. He had a history of hypertension, congestive heart failure, and left nephrectomy for renal cancer 10 years earlier; he was a former cigarette smoker with a 50 pack-year history, having quit 5 years prior to presentation. The patient did not report any recent travel history or occupational or animal exposures, and he did not have gastroesophageal reflux. Medications included diltiazem hydrochloride, irbesartan, hydrochlorothiazide, and ranitidine. © 2018 American College of Chest Physicians" }