Open AccessGranulomatosis (Wegener's granulomatosis) with polyangiitis presented as pulmonary manifestation: a case report
Author(s) -
Lazim Qusay Jummaa,
Atrah Sinan Shakir Gheni,
Mutlag Khalid Jawad,
Alhilfi Haider Saadoon Qasim,
Fahad Ahmed Muhi,
Alshewered Ahmed Salih
Publication year - 2020
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.674
Subject(s) - medicine , granulomatosis with polyangiitis , systemic vasculitis , vasculitis , dermatology , vomiting , sore throat , rituximab , pathology , surgery , disease , lymphoma
Pulmonary vasculitis can be the manifestation of several systemic illnesses such as primary systemic vasculitis, collagen vascular diseases, and systemic diseases associated with autoantibodies. It may be associated with granulomatous, eosinophilic, lymphoplasmacytic and neutrophilic inflammatory diseases. In this case report, we describe a 22‐year‐old female presented with intermittent fever, sweating and shivering, haemoptysis, sore throat, shortness of breath, fatigue, loss of appetite, nausea, non‐projectile vomiting, dizziness, and dark coloured urine. The diagnosis of granulomatosis with polyangiitis was made utilizing biochemical and radiological tests. Several pharmacological therapies were tried including rituximab. The patient made a good recovery and was discharged home after 12 days of hospitalization. The knowledge of the main radiographic and computed tomography (CT) scan findings, in association with clinical and laboratory data, often enables non‐invasive diagnosis of pulmonary vasculitis.