title: [Pancreatic involvement in Wegener's granulomatosis: a rare and difficult diagnosis].
abstract: BACKGROUND
  Pancreatic involvement in the course of wegener's granulomatosis is rarely reported.
  
  
  METHODS
  We report a case presenting as a pancreatic tumorlike lesion. We also discuss six further cases from the medical literature. Two of them had a tumorlike lesion, three had acute pancreatitis and the last had exocrine pancreatic insufficiency.
  
  
  CONCLUSIONS
  Treatment, association of corticoid and cyclophosphamide, is efficient if it is started quickly. So we think that this unusual manifestation of Wegener's granulomatosis should be recognized.
authors.affiliation: Service de médecine interne, CHU de Clermont-Ferrand, hôpital Gabriel-Montpied, France. imarroun@chu-clermontferrand.fr
authors.forename: I
authors.initials: I
authors.lastname: Marroun
authors.forename: I
authors.initials: I
authors.lastname: Delèvaux
authors.forename: M
authors.initials: M
authors.lastname: André
authors.forename: F
authors.initials: F
authors.lastname: Gavet
authors.forename: A M
authors.initials: AM
authors.lastname: Beaufrere
authors.forename: K
authors.initials: K
authors.lastname: Slim
authors.forename: O
authors.initials: O
authors.lastname: Aumaître
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000209:etiology*; D010190:Pancreatic Neoplasms / Q000175:diagnosis