[A case of limited form of Wegener's granulomatosis showing repeated occurrence and disappearance of nodules in chest X ray with no medication].
A 69-year-old woman was admitted to because of bloody sputum. Chest CT showed some nodules. The patient was seronegative for PR3-ANCA. One month after the admission, these shadows vanished with no medication. She was asymptomatic for one and a half years, and then she complained of cough again. Multiple nodules were seen on chest CT again. She was admitted, and surgical biopsy by video-assisted thoracoscopic surgery was performed. She was diagnosed to have a limited form of Wegener's granulomatosis. Multiple shadows vanished without medication, again. Administration of sulfamethoxazole-trimethoprim was started and there has been no relapse.
Hayashi
Hiroki
H
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital.
Morimoto
Kouzou
K
Nakazawa
Kensuke
K
Fujita
Jyunnichi
J
Mori
Takeru
T
Sunada
Kouichi
K
Watanabe
Kouichi
K
Hayashihara
Kenji
K
Saito
Takefumi
T
Kawabata
Yoshinori
Y
D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000276:immunology; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D013902:Radiography, Thoracic; D003074:Solitary Pulmonary Nodule / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D000890:Anti-Infective Agents; D019268:Antibodies, Antineutrophil Cytoplasmic; D015662:Trimethoprim, Sulfamethoxazole Drug Combination