[Wegener's granulomatosis of the colon. Case report and review of the literature].
BACKGROUND
Wegener's granulomatosis is not very common and it is associated with colonic affection is extremely rare. It was first described by Klinger, and by Wegener in 1936. It is a systemic clinico-pathologic entity to be mediated by immune mechanisms. The most common clinical manifestations are of respiratory, renal, and vascular origins. Diagnosis is histologic.


OBJECTIVE
Presentation of a clinical case and literature revision.


METHODS
The patient was a 46 year old male who vegan 3 years previously with symmetrical arthralgia in ankles and knees, cough, purulent expectoration, intermittend fever, occasional moderated hematoquezia, profuse diarrhea, and abdominal pain. The patient was subjected to laboratory and cabinet studies, by means of which it was established a diagnosis secondary colitis colonic mucosa. Definitive histopathologic study confirmed diagnosis of colonic Wegener's granulomatosis.
Cuevas Montes de Oca
Francisco
F
Servicio de Coloproctología, Hospital de Especialidades del. Centro Médico Nacional La Raza, I.M.S.S. México, D.F.
Pulido Muñoz
Marco Antonio
MA
Rodríguez Rocha
Fidel
F
Campos Campos
Francisco
F
García Sánchez
Morelos Adolfo
MA
Torres Alpízar
Arturo
A
D003092:Colitis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D003967:Diarrhea / Q000209:etiology / Q000473:pathology / Q000628:therapy; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D012812:Sigmoidoscopy; D016896:Treatment Outcome
D007166:Immunosuppressive Agents