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A Case of Wegener's Granulomatosis with Delayed Diagnosis due to Clinical Features of Henoch-Schönlein Purpura  

Song, Se Bin (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Choi, Hye Sook (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Kim, Yee Hyung (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Choi, Cheon Woong (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Park, Myung Jae (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Yoo, Jee-Hong (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Kang, Hong Mo (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine)
Kim, Yoon Hwa (Department of Pathology, Kyunghee University College of Medicine)
Park, Joo Cheol (Department of Thoracic Surgery, Kyunghee University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.63, no.6, 2007 , pp. 531-536 More about this Journal
Abstract
Wegener's granulomatosis is a systemic vasculitis of the medium and small arteries, as well as of the venules, arterioles, and occasionally large arteries, and primarily involves the upper and lower respiratory tracts and the kidneys. Renal symptoms of Wegener's granulomatosis are indistinguishable from those of vasculitis such as Henoch-$Sch\ddot{o}nlein$ purpura and microscopic polyangiitis. This case, though initially diagnosed as Henoch-$Sch\ddot{o}nlein$ purpura, was confirmed as Wegener's granulomatosis from a lung biopsy fifteen years after the initial diagnosis. We report this case with a review of the literature.
Keywords
Wegener's granulomatosis; Henoch-$Sch\ddot{o}nlein$ purpura;
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1 Woodworth TG, Abuelo JG, Austin HA 3rd, Esparza A. Severe glomerulonephritis with late emergence of classic Wegener's granulomatosis. Report of 4 cases and review of the literature. Medicine (Baltimore) 1987;66: 181-91   DOI
2 Kallenberg CG, Brouwer E, Weening JJ, Tervaert JW. Anti-neutrophil cytoplasmic antibodies: current diagnostic and pathophysiological potential. Kidney Int 1994;46:1-15   DOI   ScienceOn
3 Duna GF, Galperin C, Hoffman GS. Wegener's granulomatosis. Rheum Dis Clin North Am 1995;21:949-86
4 Miyata M, Kanno K, Nishimaki T, Sakuma F, Iwatsuki K, Kasukawa R. A patient with Wegener's granulomatosis with initial clinical presentations of Henoch- Schonlein purpura. Intern Med 2001;40:1050-4   DOI   ScienceOn
5 Cordier JF, Valeyre D, Guillevin L, Loire R, Brechot JM. Pulmonary Wegener's granulomatosis. A clinical and imaging study of 77 cases. Chest 1990;97:906-12   DOI   ScienceOn
6 Hauer HA, Bajema IM, van Houwelingen HC, Ferrario F, Noël LH, Waldherr R, et al. Renal histology in ANCA-associated vasculitis: differences between diagnostic and serologic subgroups. Kidney Int 2002;61:80-9   DOI   ScienceOn
7 Schnabel A, Holl-Ulrich K, Dalhoff K, Reuter M, Gross WL. Efficacy of transbronchial biopsy in pulmonary vasculitides. Eur Respir J 1997;10:2738-43   DOI   ScienceOn
8 Stone JH; Wegener's Granulomatosis Etanercept Trial Research Group. Limited versus severe Wegener's granulomatosis: baseline data on patients in the Wegener's granulomatosis etanercept trial. Arthritis Rheum 2003;48:2299-309   DOI   ScienceOn
9 Seo P, Stone JH. The antineutrophil cytoplasmic antibody- associated vasculitides. Am J Med 2004;117:39-50   DOI   ScienceOn