Wegener's granulomatosis in north India. Radiologic manifestations in eleven patients.
The chest radiograph in Wegener's granulomatosis reveals several striking, but not pathognomonic abnormalities. Nine (82%) of eleven patients with Wegener's granulomatosis had abnormal chest radiographs. Infiltrates were seen in all patients and were nodular in seven (77%). Six patients had cavities which were most often unilateral and thick walled. Serial radiographs showed the simultaneous appearance and resolution of infiltrates in 4 of 7 instances. Bilateral pulmonary involvement (67%), pleural effusion (33%), and pericardial effusion (22%) were also seen. Paranasal sinus involvement was seen in 4 of 5 studies. The chest radiograph was interpreted as tuberculosis in eight patients, resulting in delayed diagnosis and incorrect treatment.
Bambery
P
P
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Katariya
S
S
Sakhuja
V
V
Kaur
U
U
Behera
D
D
Malik
S K
SK
Deodhar
S D
SD
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D007194:India; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging