Multiple unusual manifestations of Wegener's granulomatosis: breast mass, microangiopathic hemolytic anemia, consumptive coagulopathy, and low erythrocyte sedimentation rate.
We describe a patient who presented with multiple unusual manifestations of Wegener's granulomatosis, including a breast mass, microangiopathic hemolytic anemia, and consumptive coagulopathy. Erythrocyte sedimentation rate (Westergren), usually elevated in the course of this disease, persistently remained low in this patient. We found that C-reactive protein levels were, in this case, a more sensitive gauge of disease activity.
D000743:Anemia, Hemolytic / Q000150:complications* / Q000473:pathology; D001799:Blood Sedimentation; D001941:Breast Diseases / Q000150:complications* / Q000473:pathology; D004211:Disseminated Intravascular Coagulation / Q000150:complications*; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000097:blood / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D014657:Vasculitis / Q000150:complications*