[A case of limited Wegener's granulomatosis with gastroenteritis and mesenteric lymphadenopathy].
Wegener's granulomatosis (WG) is a disease characterized by a granulomatous necrotizing vasculitis of small vessels. Although any organ systems can be involved, gastrointestinal involvement in WG is notably uncommon. We present a case of 67-year-old man who was admitted with abdominal pain and diarrhea lasting for 3 weeks. Colonoscopy and abdominal CT scan revealed vasculitis and multiple mesenteric lymphadenopathy. Jejunum and mesenteric lymph nodes biopsies confirmed limited form of WG. The present case indicates that WG might involve only gastrointestinal tract and the histological confirmation is important for diagnosis.
Jeong
Yong Geun
YG
Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
Kim
Tae Hyo
TH
Lee
Chang Min
CM
Shim
Ki Shik
KS
Moon
In Kyu
IK
Lee
Sang Il
SI
Jung
Woon Tae
WT
Lee
Ok Jae
OJ
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003113:Colonoscopy; D003937:Diagnosis, Differential; D005759:Gastroenteritis / Q000150:complications / Q000175:diagnosis*; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000893:Anti-Inflammatory Agents; D011239:Prednisolone