Granulomatosis with polyangiitis

Discussion:

Initially, a core biopsy of the right lung lesion was performed but it was non-diagnostic.

A subsequent surgical biopsy of the left lung lesion showed granulomatosis with polyangiitis (previously known as Wegener granulomatosis).

Unfortunately, the patient had a very rapid downhill course with renal failure and expired at the time that treatment for Wegener was going to be started. Stains for microorganisms and cultures were all negative.

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