Granulomatosis with polyangitis - pulmonary cavities

Case contributed by Bruno Di Muzio , 1 Jan 2014
Diagnosis almost certain
Changed by Yahya Baba, 1 Mar 2024
Disclosures - updated 8 Apr 2023: Nothing to disclose

Updates to Case Attributes

Age changed from 34-year-old to 35 years.
Body was changed:

Granulomatosis with polyangitis (Wegener granulomatosis), is a multi-system systemic necrotising non-caseating granulomatous vasculitis affecting small to medium-sized arteries, capillaries and veins, and the lungs are the most frequently involved organ, seen in 95% of cases.

The most common radiological presentation is with multiple nodules randomly distributed. In approximately half of cases, some of the nodules demonstrate cavitation, which is best seen with CT.

This case shows multiple cavities and the patient has recurrent pulmonary infections (caused by usual bacteria). On the last hospitalisation she was submitted to thoracic drainage and subsequent surgical intervention.

Patient was confirmed to have Granulomatosis with polyangiitis(Wegener granulomatosis).

  • -<p><a href="/articles/granulomatosis-with-polyangiitis">Granulomatosis with polyangitis</a> (Wegener granulomatosis), is a multi-system systemic necrotising non-caseating granulomatous <a href="/articles/vasculitis">vasculitis</a> affecting small to medium-sized arteries, capillaries and veins, and the lungs are the most frequently involved organ, seen in 95% of cases.</p><p>The most common radiological presentation is with multiple nodules randomly distributed. In approximately half of cases, some of the nodules demonstrate cavitation, which is best seen with CT.</p><p>This case shows multiple cavities and the patient has recurrent pulmonary infections (caused by usual bacteria). On the last hospitalisation she was submitted to thoracic drainage and subsequent surgical intervention.</p><p>Patient was confirmed to have <a href="/articles/granulomatosis-with-polyangiitis">Granulomatosis with polyangiitis</a> (Wegener granulomatosis).</p>
  • +<p><a href="/articles/granulomatosis-with-polyangiitis">Granulomatosis with polyangitis</a> (Wegener granulomatosis), is a multi-system systemic necrotising non-caseating granulomatous <a href="/articles/vasculitis">vasculitis</a> affecting small to medium-sized arteries, capillaries and veins, and the lungs are the most frequently involved organ, seen in 95% of cases.</p><p>The most common radiological presentation is with multiple nodules randomly distributed. In approximately half of cases, some of the nodules demonstrate cavitation, which is best seen with CT.</p><p>This case shows multiple cavities and the patient has recurrent pulmonary infections (caused by usual bacteria). On the last hospitalisation she was submitted to thoracic drainage and subsequent surgical intervention.</p><p>Patient was confirmed to have <a href="/articles/granulomatosis-with-polyangiitis">Granulomatosis with polyangiitis</a>&nbsp;(Wegener granulomatosis).</p>
Diagnostic Certainty changed from 4 to 3.
Edit Without Moderation was set to false.

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