Granulomatosis with polyangiitis

Case contributed by Dr Maxim Stalkov

Presentation

Cough, haemoptysis, chest pain and fever.

Patient Data

Age: 60
Gender: Male
Modality: CT

Bilateral cavitating masses with thick walls and multiple irregularly marginated nodules. Right-sided pleural effusion.

Case Discussion

Patient also had maxillary sinusitis and renal impairment. Findings are consistent with Wegener's granulomatosis (granulomatosis with polyangiitis). Diagnosis was verified.

The classic Wegener's triad represents involvement of upper respiratory tract, lungs and kidneys. Lungs are the most frequently involved site in granulomatosis with polyangiitis (95% of cases). 

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Case Information

rID: 36997
Case created: 21st May 2015
Last edited: 6th Dec 2016
System: Chest
Inclusion in quiz mode: Included

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