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Wegener granulomatosis; multisystem involvement

Yıl 2006, Cilt: 59 Sayı: 2, 54 - 57, 01.02.2006

Nilgün Yıldırım Sevinç Bostanoğlu Emrah Akar Enis Yüksel M. Alp Karademir

Öz

Wegener Granulomatozis (WG) is a systemic autoimmune disorder characterized by necrotizing granulomatous vasculitis that primarily affects the upper and lower respiratory tracts and kidneys. We report a case of WG with multisystem involvement. This 39-year-old man has ocular, paranasal, mediastinal, lung, splenic and meningeal involvement of WG. We describe and correlate the CT,US and cytological findings. W egener Granulomatosis (WG) is a disorder characterized by necrotizing granulomatous vasculitis that primarily affects the upper and lower respiratory tracts and kidneys (1,2). The classic form of WG is a multisystem process that includes respiratory tract granulomas, generalized vasculitis and glomerulonephritis, whereas the limited form of WG involves focal disease without glomerulonephritis (3). We report a case of WG with multisystem involvement.

Anahtar Kelimeler

Wegener Granulomatosis CT US Cytological findings

Kaynakça

  • Clark WJ, Broumand V, Ruskin JD et al: Erythematous, granular, soft tissue lesion of the gingiva. J Oral Maxillofac Surg 1998; 56:962-7.
  • Weinberger LM, Cohen ML, Remler BF et al. Intracranial Wegener’s Granulomatosis. Neurology 1993; 43:1831-1834.
  • Provenzale JM, Mukherji S, Allen NB et al. Orbital involvement by Wegener’s Granulomatosis. AJR 1996; 166:929-934.
  • Hoffman GS, Kerr GS, Leavitt RY et al. Wegener Granulomatosis: an analysis of 158 patient. Ann Intern Med 1992; 116:488-498.
  • Provenzale JM, Allen NB. Wegener Granulomatosis. AJNR 1996; 17:785- 792.
  • Wadsworth DT, Siegel MJ, Day DL. Wegener’s Granulomatosis in childeren: chest radioghraphic manifestations. AJR 1994;163:901-904.
  • Weir IH, Muller NL, Chiles C, et al. Wegener’s Granulomatosis: Şndings from computed tomography of the chest in 10 patients. Can Assoc Radiol J 1992; 43:31-34.
  • Geoge TM, Cash JM, Farver C et al. Mediastinal mass and hilar adenopathy: rare thoracic manifestations of Wegener’s Granulomatosis. Artritis Rheum 1997; 40:1992-1997.
  • Bullen CL, Liesegang TJ, McDonald TJ et al. Ocular complication of Wegener’s Granulomatosis. Ophthalmology 1997; 90:279-290.
  • Haynes B, Fishman ML, Fauci AS et al. Ocular complications of Wegener’s Granulomatosis: Şfteen years experience and review of the literature. Am J Med 1997; 63:131-141.
  • Drahman DD. Neurologıcal complications of Wegener’s Granulomatosis. Arch Neurol 1993; 8:145-155.
  • Fauci AS, Haynes BF, Katz P et al. Wegener’s Granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. Ann Intern Med 1983; 98:76-85.
  • Andersen JM, Jamiesen DG, Jefferson JM. Non-healing granuloma and the nervous system. Q J Med 1975; 44:309-323.
  • Nishino H, Rubino FA, De Remee RA et al. Neurologıcal involvement in Wegener’s Granulomatosis: an analysis of 324 consecutive patients at the Mayo Clinic. Ann Neurol 1993; 33:4-9.
  • Kalaitzoglou I, Drevenlengas A, Palladas P et al. MRI Appearance of pulmonary Wegener’s Granulomatosis with concomitant splenic infarction. Eur Radiol 1998; 8:367-370.
  • Spranger M, Schwab S, Meinck HM. Meningeal involvement in Wegener's granulomatosis conŞrmed and monitored by positive circulating antineutrophil cytoplasm in cerebrospinal fluid. Neurology 1997; 48:263-5
  • Mc Hugh K, Manson D, Eberhard BA et al. Splenic necrosis in Wegener’s Granulomatozis. Pediatr Radiol 1991; 21:588-589.

Wegener granulomatozis; multisistem tutulumu

Yıl 2006, Cilt: 59 Sayı: 2, 54 - 57, 01.02.2006

Nilgün Yıldırım Sevinç Bostanoğlu Emrah Akar Enis Yüksel M. Alp Karademir

Öz

Wegener Granülomatozis (WG) ender görülen, primer olarak üst ve alt solunum yolları ile böbreklerin nekrozitan granülomatöz vasküliti ile karakterize sistemik bir otoimmün hastalıktır. Biz multisistem tutulumu olan bir WG li olguyu sunmayı amaçladık. 39 yaşındaki erkek hastada oküler, paranazal, mediastinal, akciğer, dalak ve meningeal tutulum BT, US ve sitolojik bulguları ile sunuldu.

Wegener Granülomatozis (WG) ender görülen, primer olarak üst ve alt solunum yolları ile böbreklerin nekrozitan granülomatöz vasküliti ile karakterize sistemik bir otoimmün hastalıktır. Biz multisistem tutulumu olan bir WG li olguyu sunmayı amaçladık. 39 yaşındaki erkek hastada oküler, paranazal, mediastinal, akciğer, dalak ve meningeal tutulum BT, US ve sitolojik bulguları ile sunuldu.

Anahtar Kelimeler

Wegener Granülomatozis BT US sitolojik bulgular

Kaynakça

  • Clark WJ, Broumand V, Ruskin JD et al: Erythematous, granular, soft tissue lesion of the gingiva. J Oral Maxillofac Surg 1998; 56:962-7.
  • Weinberger LM, Cohen ML, Remler BF et al. Intracranial Wegener’s Granulomatosis. Neurology 1993; 43:1831-1834.
  • Provenzale JM, Mukherji S, Allen NB et al. Orbital involvement by Wegener’s Granulomatosis. AJR 1996; 166:929-934.
  • Hoffman GS, Kerr GS, Leavitt RY et al. Wegener Granulomatosis: an analysis of 158 patient. Ann Intern Med 1992; 116:488-498.
  • Provenzale JM, Allen NB. Wegener Granulomatosis. AJNR 1996; 17:785- 792.
  • Wadsworth DT, Siegel MJ, Day DL. Wegener’s Granulomatosis in childeren: chest radioghraphic manifestations. AJR 1994;163:901-904.
  • Weir IH, Muller NL, Chiles C, et al. Wegener’s Granulomatosis: Şndings from computed tomography of the chest in 10 patients. Can Assoc Radiol J 1992; 43:31-34.
  • Geoge TM, Cash JM, Farver C et al. Mediastinal mass and hilar adenopathy: rare thoracic manifestations of Wegener’s Granulomatosis. Artritis Rheum 1997; 40:1992-1997.
  • Bullen CL, Liesegang TJ, McDonald TJ et al. Ocular complication of Wegener’s Granulomatosis. Ophthalmology 1997; 90:279-290.
  • Haynes B, Fishman ML, Fauci AS et al. Ocular complications of Wegener’s Granulomatosis: Şfteen years experience and review of the literature. Am J Med 1997; 63:131-141.
  • Drahman DD. Neurologıcal complications of Wegener’s Granulomatosis. Arch Neurol 1993; 8:145-155.
  • Fauci AS, Haynes BF, Katz P et al. Wegener’s Granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. Ann Intern Med 1983; 98:76-85.
  • Andersen JM, Jamiesen DG, Jefferson JM. Non-healing granuloma and the nervous system. Q J Med 1975; 44:309-323.
  • Nishino H, Rubino FA, De Remee RA et al. Neurologıcal involvement in Wegener’s Granulomatosis: an analysis of 324 consecutive patients at the Mayo Clinic. Ann Neurol 1993; 33:4-9.
  • Kalaitzoglou I, Drevenlengas A, Palladas P et al. MRI Appearance of pulmonary Wegener’s Granulomatosis with concomitant splenic infarction. Eur Radiol 1998; 8:367-370.
  • Spranger M, Schwab S, Meinck HM. Meningeal involvement in Wegener's granulomatosis conŞrmed and monitored by positive circulating antineutrophil cytoplasm in cerebrospinal fluid. Neurology 1997; 48:263-5
  • Mc Hugh K, Manson D, Eberhard BA et al. Splenic necrosis in Wegener’s Granulomatozis. Pediatr Radiol 1991; 21:588-589.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Nilgün Yıldırım Bu kişi benim

Sevinç Bostanoğlu Bu kişi benim

Emrah Akar Bu kişi benim

Enis Yüksel Bu kişi benim

M. Alp Karademir Bu kişi benim

Yayımlanma Tarihi 1 Şubat 2006
Yayımlandığı Sayı Yıl 2006 Cilt: 59 Sayı: 2

Kaynak Göster

APA Yıldırım, N., Bostanoğlu, S., Akar, E., Yüksel, E., vd. (2006). Wegener granulomatosis; multisystem involvement. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 59(2), 54-57.
AMA Yıldırım N, Bostanoğlu S, Akar E, Yüksel E, Karademir MA. Wegener granulomatosis; multisystem involvement. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Şubat 2006;59(2):54-57.
Chicago Yıldırım, Nilgün, Sevinç Bostanoğlu, Emrah Akar, Enis Yüksel, ve M. Alp Karademir. “Wegener Granulomatosis; Multisystem Involvement”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 59, sy. 2 (Şubat 2006): 54-57.
EndNote Yıldırım N, Bostanoğlu S, Akar E, Yüksel E, Karademir MA (01 Şubat 2006) Wegener granulomatosis; multisystem involvement. Ankara Üniversitesi Tıp Fakültesi Mecmuası 59 2 54–57.
IEEE N. Yıldırım, S. Bostanoğlu, E. Akar, E. Yüksel, ve M. A. Karademir, “Wegener granulomatosis; multisystem involvement”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 59, sy. 2, ss. 54–57, 2006.
ISNAD Yıldırım, Nilgün vd. “Wegener Granulomatosis; Multisystem Involvement”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 59/2 (Şubat 2006), 54-57.
JAMA Yıldırım N, Bostanoğlu S, Akar E, Yüksel E, Karademir MA. Wegener granulomatosis; multisystem involvement. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2006;59:54–57.
MLA Yıldırım, Nilgün vd. “Wegener Granulomatosis; Multisystem Involvement”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 59, sy. 2, 2006, ss. 54-57.
Vancouver Yıldırım N, Bostanoğlu S, Akar E, Yüksel E, Karademir MA. Wegener granulomatosis; multisystem involvement. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2006;59(2):54-7.