title: Infectious complication or exacerbation of granulomatosis with polyangiitis?
abstract: Granulomatosis with polyangiitis (GPA) is a primary, systemic small vessel vasculitis. The respiratory tract is typically involved in the course of the disease. Abnormalities on the chest radiograph are noted in more than 70% patients at some point during their disease history. In some clinical situations it is difficult to distinguish whether symptoms result from the underlying disease or are a symptom of infection. In these clinical situations, chest computed tomography (CT) can be very useful. We present a patient with GPA localized mainly in the respiratory tract with sudden deterioration of the general state and new abnormalities revealed in the CT of the chest.
authors.affiliation: Chair and Department of Internal Diseases, Connective Tissue Disease and Geriatrics, Medical University of Gdansk, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Masiak
authors.affiliation: Chair and Department of Endocrinology and Internal Diseases, Medical University of Gdansk, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Struk-Panfill
authors.affiliation: Chair and Department of Internal Diseases, Connective Tissue Disease and Geriatrics, Medical University of Gdansk, Poland.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Zdrojewski
keywords: computed tomography; granulomatosis with polyangiitis; infectious complications; respiratory tract stenosis