| A case of Wegener’s granulomatosis masquerading as a lung abscess |
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Hye Ok Kim, Ki Hwan Jung, Je Hyeong Kim, Hyung Joo Park, Young-Sik Kim, Chol Shin |
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| 폐농양으로 오인된 베게너 육아종증 1예 |
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김혜옥, 정기환, 김제형, 박형주, 김영식, 신 철 |
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| Abstract |
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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. (Korean J Med 76:S97-S102, 2009) |
| Key Words:
Wegener’s granulomatosis; Interstitial lung disease; Antineutrophil cytoplasmic antibody |
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