Spontaneous pneumothorax in Wegener's granulomatosis: a case report

Wegener's granulomatosis (WG) is a multiorgan system disease of unknown etiology characterized by granulomatous inflammation, tissue necrosis, and variable degrees of vasculitis in small- and medium-sized blood vessels. In patients with WG, the musculoskeletal system can be involved before othe...

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Bibliographic Details
Published in:Modern rheumatology 2008-02, Vol.18 (1), p.76-80
Main Authors: Sezer, Ilhan, Kocabas, Hilal, Melikoglu, Meltem Alkan, Budak, Bayram Serdar, Ozbudak, Irem Hicran, Butun, Bulent
Format: Article
Language:English
Subjects:
Case Report
Granulomatosis with Polyangiitis - complications
Granulomatosis with Polyangiitis - pathology
Humans
Inflammatory diseases
Lungs
Male
Medical diagnosis
Medical treatment
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Pneumothorax - diagnostic imaging
Pneumothorax - etiology
Radiography
Rheumatology
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Description
Summary:Wegener's granulomatosis (WG) is a multiorgan system disease of unknown etiology characterized by granulomatous inflammation, tissue necrosis, and variable degrees of vasculitis in small- and medium-sized blood vessels. In patients with WG, the musculoskeletal system can be involved before other typical symptoms of the disease. Also in WG, pneumothorax can develop as a rare complication. In this paper, we report a case with WG who had early articular involvement in the absence of classic features of illness and had pneumothorax which resulted from the rupture of the sub-pleural nodule. The aim of this work is to increase the awareness of early articular involvement in WG and the pneumothorax possibility especially in cases with cavitated nodules closure to pleura. This case emphasizes that early diagnosis and treatment is very important in avoiding further complications.
ISSN:1439-7595
1439-7609
DOI:10.1007/s10165-007-0007-y