title: A patient with Wegener's granulomatosis with initial clinical presentations of Henoch-Schönlein purpura.
abstract: The initial presentation of a patient with Wegener's granulomatosis was indistinguishable from that of Henoch-Schönlein purpura. The patient presented with skin purpura and pulmonary hemorrhage followed by purpura in the colon. The diagnosis of this patient at that time was Henoch-Schönlein purpura. With time, massive lesions in the sinus and those with cavities in the lung became apparent, and a specimen obtained from the sinus massive lesion was disclosed to be granulomatous inflammation. Retrospectively, the proteinase 3 antineutrophil cytoplasmic antibody turned out to be strongly positive in her stored serum from the time of the initial presentation.
authors.affiliation: Fukushima Red Cross Hospital, Fukushima Medical University School of Medicine.
authors.forename: M
authors.initials: M
authors.lastname: Miyata
authors.forename: K
authors.initials: K
authors.lastname: Kanno
authors.forename: T
authors.initials: T
authors.lastname: Nishimaki
authors.forename: F
authors.initials: F
authors.lastname: Sakuma
authors.forename: K
authors.initials: K
authors.lastname: Iwatsuki
authors.forename: R
authors.initials: R
authors.lastname: Kasukawa
mesh_terms: D000328:Adult; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood*; D001324:Autoantigens / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000276:immunology; D006801:Humans; D011695:IgA Vasculitis / Q000175:diagnosis*; D053146:Myeloblastin; D009195:Peroxidase / Q000276:immunology; D012697:Serine Endopeptidases / Q000276:immunology; D013997:Time Factors
chemical_list: D019268:Antibodies, Antineutrophil Cytoplasmic; D001324:Autoantigens; D009195:Peroxidase; D012697:Serine Endopeptidases; D053146:Myeloblastin