title: Wegener's granulomatosis presenting as oral lesions: a case report.
abstract: Wegener's granulomatosis will classically present as a triad of respiratory, kidney, and vascular involvement. The disease may run a course of rapidly progressive or mild and indolent and escape diagnosis for some time. The clinician must be aware of the possibility of Wegener's granulomatosis presenting initially with intraoral lesions. Prompt biopsies and blood studies along with the proper referrals will give the patient their best chance at a remission with the least systemic damage. We present a case of Wegener's granulomatosis that presented with oral lesions before other signs and symptoms.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Iowa Hospitals and Clinics, Iowa City 52246, USA.
authors.forename: J
authors.initials: J
authors.lastname: Lilly
authors.forename: T
authors.initials: T
authors.lastname: Juhlin
authors.forename: D
authors.initials: D
authors.lastname: Lew
authors.forename: S
authors.initials: S
authors.lastname: Vincent
authors.forename: G
authors.initials: G
authors.lastname: Lilly
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D009059:Mouth Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D009061:Mouth Mucosa / Q000473:pathology