Unusual Lung Presentation of Wegener's Granulomatosis- A Case Report

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B. V. Purnesh
Manimekalai P.
Vinatha Mc.
Lok Chaitanya Pujari
Nandhyala Durga Venkata Sainadh
Pon Divya Bharathi
Devika Anil Kumar


Wegener's granulomatosis Is Well Known For Its pulmonary symptoms (WG). however, there hasn't been any mention of a pleural effusion as a first symptom. Here We present a case of pleural effusion which is later diagnosed as Wegener’s granulomatosis. A 50-year-old male presented with pleuritic chest pain, CT Chest revealed pleural thickening and nodule, on examination there was palpable nodule on right side of chest. Pleural biopsy and lung biopsy showed thick chronic inflammatory infiltration in pleural biopsy and necrotizing granulomatous vasculitis. Laboratory investigations are positive for Wegener’s granulomatosis and patient is started on cyclophosphamide and methylprednisolone, for which he showed improvement.

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Purnesh, B. V. ., P., M. ., Mc., V. ., Chaitanya Pujari, L. ., Durga Venkata Sainadh, N. ., Bharathi, P. D. ., & Kumar, D. A. . (2023). Unusual Lung Presentation of Wegener’s Granulomatosis- A Case Report. Journal of Coastal Life Medicine, 11(1), 1067–1070. Retrieved from https://www.jclmm.com/index.php/journal/article/view/473


G. Blundell and S. Roe, “Wegener’s granulomatosis present- ing as apleuraleffusion,”BritishMedical Journal,vol.327,no.7406,pp.95–96,2003.

J. L. McCann and Z. Q. Morris, “Wegener granulomatosis presenting asaneosinophilic pleural effusion,” Chest, vol.130,p.327S,2006.

E. Diot, C. Lavigne, L. Renjard, et al., “Wegener’s disease mimicking acute infectious pleurisy,” Revue de Pneumologie Clinique, vol. 56, no. 4, pp.265–268,2000.

M.Reuter, A. Schnabel, F.Wesner, etal.,“Pulmonary Wegener’s granulomatosis: correlation between high-resolution CT find- ings and clinicalscoringofdiseaseactivity,”Chest,vol.114,no.2,pp.500–506,1998.

T.Kumasaka, K. Mitani, H. Izumi, et al., “Small vessel vasculitis limited topleuropulmonarymanifestations,possiblyinducedbyendotoxin,”Histopathology,vol.43,no.2,pp.189–193,2003.