[Wegener's granulomatosis--a disease of many faces].
We describe a case of Wegener's granulomatosis. The first symptoms included severe headache subsiding only after administration of dexamethasone. Despite a great number of diagnostic tests involving CT and MR of the head, the cause of the headache remained unknown. Because a chest x-ray revealed a nodule in the right lung, the patient was sent to our Clinic. Reevaluation of CT and MR pointed to a massive ethmoid sinusitis. 7-days' course of antibiotics and corticosteroids induced remission of the lung nodule. Several diagnoses were made: neoplasm, bacterial ethmoid sinusitis, trigeminal neuritis, thrombotic cavernous sinusitis and tuberculosis. Results of the ethmoid sinus biopsy together with a high c-ANCA concentration gave the correct diagnosis.
Gołecki
Marcin
M
Katedra i Klinika Chorób Płuc, Wrocławiu.
Jankowska
Renata
R
Weryńska
Bozena
B
D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood; D020226:Cavernous Sinus Thrombosis / Q000175:diagnosis; D003937:Diagnosis, Differential; D015521:Ethmoid Sinusitis / Q000175:diagnosis; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D015523:Maxillary Sinusitis / Q000175:diagnosis; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
D019268:Antibodies, Antineutrophil Cytoplasmic