Wegener's granulomatosis. Case report
Keywords:
granulomatosis with polyangiitis, vasculitisAbstract
It presents a patient who comes to Otorhinolaryngology Consultation with abundant nasal and secretions and fetids, nasal obstruction, increased volume of the nose with tumor appearance and pain of one year of evolution; a previous biopsy only showed necrosis. Treatment was imposed but it did not improve. Presented a greater nasal obstruction and a new nasal mucosa biopsy was performed; it was diagnosed as a Wegener's granulomatosis. The interesting thing about the case lies in the difficulty in making the diagnosis because clinically it simulated a tumor and in the biopsies the necrosis predominated, with only a few areas of granulomas.Downloads
References
1. Martínez-Morillo M, Grados D, Naranjo-Hans D, Mateo L, Holgado S, Olivé A. Granulomatosis con poliangeítis (Wegener). Descripción de 15 casos. Reumatol Clin [Internet]. 2012 Jan-Feb [citado 26 Dic 2016];8(1):15-19. Disponible en: http://www.reumatologiaclinica.org/es/granulomatosis-con-poliangeitis-wegener-descripcion/articulo/S1699258X11001434/
2. Hoyos Patiño S. Granulomatosis con poliangeítis: actualización y conceptos claves. Rev Cubana Reumatol [Internet]. 2016 Ene-Abr [citado 26 Dic 2016];18(1):36-44. Disponible en: http://scielo.sld.cu/pdf/rcur/v18n1/rcur07116.pdf
3. Granulomatosis con poliangeítis (antes granulomatosis de Wegener). The Arthritis Foundation is a registered 501(c)(3) nonprofit organization [Internet]. 2016 [citado 26 Dic 2016]. Disponible en: http://espanol.arthritis.org/espanol/disease-center/granulomatosis-poliangeitis/
4. Granulomatosis con Poliangeitis (de Wegener). The Cleveland Clinic [Internet]. 2017 [citado 11 Ene 2017]: [aprox. 4 p.]. Disponible en: http://www.clevelandclinic.org/health/sHIC/html/s4757.asp
5. Vera-Lastra O, Olvera-Acevedo A, McDonal-Vera A, Pacheco-Ruelas M, Gayosso-Rivera J. Granulomatosis de Wegener, abordaje diagnóstico y terapéutico. Gac Méd Méx [Internet]. 2009 [citado 26 Dic 2016];146(2):121-29. Disponible en: http://www.medigraphic.com/pdfs/gaceta/gm-2009/gm092h.pdf
6. Horta-Baas G, Hernández-Cabrera MF, Catana R. Estenosis subglótica en granulomatosis con poliangitis (granulomatosis de Wegener): presentación de 4 casos. Reumatol Clín (Barcelona) [Internet]. 2016 Sep-Oct [citado 26 Dic 2016];12(5):267-73. Disponible en: http://www.reumatologiaclinica.org/es/estenosis-subglotica-granulomatosis-con-poliangitis/articulo/S1699258X15001825/
7. Tracy GL. Granulomatosis with Polyangiitis (Wegener granulomatosis). Medscape [Internet]. 2016 Nov 21 [citado 11 Ene 2017]. Disponible en: http://emedicine.medscape.com/article/332622-overview
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).