A case of Wegener's granulomatosis masquerading as a lung abscess / 대한내과학회지
Korean Journal of Medicine
; : S97-S102, 2009.
Article
em Ko
| WPRIM
| ID: wpr-105022
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Otite Média
/
Prognóstico
/
Sistema Respiratório
/
Tórax
/
Vasculite
/
Granulomatose com Poliangiite
/
Doenças Pulmonares Intersticiais
/
Anticorpos Anticitoplasma de Neutrófilos
/
Citoplasma
/
Diagnóstico Precoce
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2009
Tipo de documento:
Article