A Case of Limited Wegener's Granulomatosis with Gastroenteritis and Mesenteric Lymphadenopathy
Author(s) -
Yong Geun Jeong,
Tae Hyo Kim,
Chang Min Lee,
Ki Shik Shim,
In Kyu Moon,
SangIl Lee,
Woon Tae Jung,
OkJae Lee
Publication year - 2010
Publication title -
korean journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 25
eISSN - 2233-6869
pISSN - 1598-9992
DOI - 10.4166/kjg.2010.55.5.331
Subject(s) - medicine , vasculitis , gastrointestinal tract , abdominal pain , colonoscopy , mesenteric lymph nodes , kawasaki disease , pathology , diarrhea , mesentery , jejunum , necrotizing vasculitis , gastroenterology , disease , spleen , colorectal cancer , cancer , artery
Wegener's granulomatosis (WG) is a disease characterized by a granulomatous necrotizing vasculitis of small vessels. Although any organ systems can be involved, gastrointestinal involvement in WG is notably uncommon. We present a case of 67-year-old man who was admitted with abdominal pain and diarrhea lasting for 3 weeks. Colonoscopy and abdominal CT scan revealed vasculitis and multiple mesenteric lymphadenopathy. Jejunum and mesenteric lymph nodes biopsies confirmed limited form of WG. The present case indicates that WG might involve only gastrointestinal tract and the histological confirmation is important for diagnosis.
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