A young lady presented with limited pulmonary Wegener's granulomatosis.
A 19 year old female college student presented with fever, dry cough, chest pain, blood tinged sputum with subsequent development of polyarthralgia with radiological evidence of bilateral multiple unevenly distributed pulmonary nodular opacities with cavitation. There was no other systemic involvement and the patient was cytoplasmic antineutrophil antibody (c-ANCA) positive with more than four times the normal upper limit of anti PR3 antibody. Excellent response to oral steroid with antimicrobial agent "trimethoprim - sulphamethoxazole" was noted.
Dr. Atin Dey, Hemangini Nagar, Block-I, Flat No.-202, 53, New G.T.Road, P.O. Uttarpara, District -Hooghly, Pin - 712258. E-mail: dratindey@yahoo.co.uk.
Atin
A
Dey
Datta Chaudhuri
DC
Arunabha
Pandit
P
Sudipta
Kundu
K
Susmita
Saha
S
Mita
Clin Exp Immunol. 1995 Jul;101 Suppl 1:29
7606857
Ann Intern Med. 1989 Jul 1;111(1):28-40
2660645
Am J Med. 1970 Sep;49(3):366-79
4917075
Ann Intern Med. 1992 Mar 15;116(6):488-98
1739240
Q J Med. 1994 Mar;87(3):161-7
8208904
Am J Med. 1966 Oct;41(4):497-527
5923596
Arthritis Res Ther. 2003;5(4):180-91
12823849
Q J Med. 1993 Nov;86(11):719-25
8265772
Mayo Clin Proc. 1985 Jan;60(1):27-32
3871238
N Engl J Med. 1974 Jul 25;291(4):195-202
4834489
Ann Intern Med. 1983 Jan;98(1):76-85
6336643
Indian J Chest Dis Allied Sci. 2004 Jan-Mar;46(1):39-42
14870867
Am Rev Respir Dis. 1973 Jul;108(1):1-18
4577269
Br J Ophthalmol. 1981 Aug;65(8):553-63
7295616