A case of Wegener's granulomatosis masquerading as a lung abscess / 대한내과학회지
Korean Journal of Medicine
;
: S97-S102, 2009.
Article
in Korean
| WPRIM
| ID: wpr-105022
ABSTRACT
Wegener's granulomatosis is a small vessel vasculitis characterized by necrotizing granulomatous inflammation of the upper and lower respiratory tracts and kidney. Early diagnosis and immediate treatment are very important for a better prognosis, but the nonspecific, variable clinical manifestations and radiologic findings make the diagnosis difficult. A positive proteinase 3-antineutrophil cytoplasmic antibody test is helpful for the diagnosis of Wegener's granulomatosis. Here, we report a case of Wegener's granulomatosis in 54-year-old man who initially presented with fever and multiple cavitary consolidations on the chest radiograph suggestive of a lung abscess. The final diagnosis of Wegener's granulomatosis was based on the medical history of otitis media, gradually developed microscopic hematuria, necrotizing granulomatous inflammation on lung histopathology, and a positive proteinase 3-antineutrophil cytoplasmic antibody test.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Otitis Media
/
Prognosis
/
Respiratory System
/
Thorax
/
Vasculitis
/
Granulomatosis with Polyangiitis
/
Lung Diseases, Interstitial
/
Antibodies, Antineutrophil Cytoplasmic
/
Cytoplasm
/
Early Diagnosis
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2009
Type:
Article
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