case_images: PMC6339764_01
case_images: Gastric biopsy showing chronic gastritis with lymphoid aggregates and nonnecrotizing granulomatous inflammation with multinucleated giant cells.
case_images: CRIRH2019-5013904.001.jpg
case_images: PMC6339764_01_CRIRH2019-5013904.001.jpg
case_images: fig1
case_images: Biopsy of the ulcer revealed active chronic gastritis with lymphoid aggregates and nonnecrotizing granulomatous inflammation with multinucleated giant cells (Figure 1).
case_images: CT chest showing large necrotic mass.
case_images: CRIRH2019-5013904.002.jpg
case_images: PMC6339764_01_CRIRH2019-5013904.002.jpg
case_images: fig2
case_images: 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.
case_images: CT chest showing resolution of earlier chest lesion.
case_images: CRIRH2019-5013904.003.jpg
case_images: PMC6339764_01_CRIRH2019-5013904.003.jpg
case_images: fig3
case_images: There was a near-complete resolution of pulmonary masses on repeat CT (Figure 3) and complete healing of the ulcer on follow-up EGD.
case_images: Renal biopsy (LM) showing diffuse thickening of the glomerular basement membrane with normal cellularity.
case_images: CRIRH2019-5013904.004.jpg
case_images: PMC6339764_01_CRIRH2019-5013904.004.jpg
case_images: fig4
case_images: Renal biopsy showed diffuse thickening of the glomerular basement membrane (GBM) with normal cellularity on light microscopy (Figure 4).
case_images: Renal biopsy (immunofluorescence microscopy) showing diffuse, granular immunoglobulin deposition along GBM.
case_images: CRIRH2019-5013904.005.jpg
case_images: PMC6339764_01_CRIRH2019-5013904.005.jpg
case_images: fig5
case_images: Immunofluorescent microscopy showed diffuse, granular immunoglobulin deposition along GBM (Figure 5).
case_images: Renal biopsy (EM) showing subepithelial granular deposits.
case_images: CRIRH2019-5013904.006.jpg
case_images: PMC6339764_01_CRIRH2019-5013904.006.jpg
case_images: fig6
case_images: Electron micrograph (Figure 6) showed subepithelial granular deposits but no subendothelial deposits.