Granulomatosis with polyangitis (Wegener's)
- Department of Internal Medicine, Toyonaka Municipal Hospital, Toyonaka City, Osaka, Japan
- Correspondence to Dr Takayuki Takimoto, Department of Internal Medicine, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka City, Osaka 560-8565, Japan; taka2003{at}chp.toyonaka.osaka.jp
- Accepted 19 April 2010
- Published Online First 29 July 2010
- Wegener granulomatosis
- pulmonary manifestation
- consolidation
- ANCA related vasculitides
- imaging/CT MRI etc
A 51-year-old woman was admitted to our hospital with general fatigue, fever and cough. Upon examination, sinusitis, papules of the planta, polymorph leucocytosis, hypoalbuminaemia and an elevated level of PR3-antineutrophil cytoplasmic antibodies (ANCAs) were found. Her chest radiograph (figure 1A) and thoracic CT (figures 1B 2A) demonstrated a large area of consolidation with air bronchogram and cavitation in the right lung field. …
