title: Wegener's granulomatosis in pregnancy: a case report and review of the medical literature.
abstract: A Caucasian woman in the third trimester of her sixth pregnancy was diagnosed with Wegener's granulomatosis (WG) following investigation for recurrent ear infections and a persistent dry cough. Chest radiograph showed granulomatous lesions and the c-ANCA (antineutrophil cytoplasmic antibody) was strongly positive. She required pulsed methylprednisolone and cyclophosphamide followed by oral prednisolone and azathioprine to control the disease process during and after pregnancy. Neither the disease nor aggressive treatment adversely affected the pregnancy and she delivered a healthy baby girl by elective induction at 37 weeks. A review of the literature on Wegener's granulomatosis in pregnancy is presented.
authors.affiliation: The Royal Oldham Hospital, Rheumatology and Medicine, K Block, Rochdale Road, Oldham, OL1 2JH, UK.
authors.forename: Vinodh Nanjanna
authors.initials: VN
authors.lastname: Devakumar
authors.forename: Madhura
authors.initials: M
authors.lastname: Castelino
authors.forename: Shien-Ching
authors.initials: SC
authors.lastname: Chow
authors.forename: Lee-Suan
authors.initials: LS
authors.lastname: Teh