Wegener's granulomatosis

 
   

This condition was described by Wegener as 'a variant of polyarteritis nodosa in which nasal or paranasal granulomata were prominent features'.

It is a rare form of necrotising vasculitis characterised by:

  • pulmonary disease
  • upper and lower respiratory tract lesions - affecting nose, sinuses, and lung
  • focal or diffuse glomerulonephritis

Other summary features include:

  • disease may run a course that might vary from indolence to one of rapid progression leading to life-threatening multiorgan failure
  • disease generally develops over a period of time with the mean period from onset of symptoms to diagnosis ranging from 4.7 to 15 months
  • without treatment it is invariably fatal

Reference:

  1. Ponniah I et al. Wegener's granulomatosis: The current understanding. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Sep;100(3):265-70.
  2. Savage COS. Systemic vasculitides.Medicine International 1994; 22(2):53-7.

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