title: Upper respiratory tract symptoms, renal involvement and vasculitis: a case report and review of wegener granulomatosis.
abstract: Wegeners Granulomatosis is a condition associated with systemic vasculitis which can present with upper respiratory tract symptoms initially. On September 2001, a 15-year-old girl presented with symptoms of nasal block for 3 weeks. She later developed joint pains and worsening renal status requiring dialysis. A renal biopsy was performed which showed pauci-immune cresentric glomerulonephritis. Her cANCA levels were positive. She was treated with oral cyclophosphamide and steroids and later responded.
  
  
  BACKGROUND
  Wegener granulomatosis; Young girl; Cyclophophamide; cANCA.
authors.affiliation: University Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Cheras 56000 Kuala Lumpur, Malaysia. Email: drobiwan@gmail.com.
authors.forename: Mohd Shahrir Mohamed
authors.initials: MS
authors.lastname: Said