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2012, Number 5

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Med Int Mex 2012; 28 (5)

Wegener Granulomatosis: Report of a Case and Review of the Literature

Calzada AJL, Jaramillo RH, Delgadillo MG, Macías DDM
Full text How to cite this article

Language: Spanish
References: 25
Page: 504-507
PDF size: 226.75 Kb.


Key words:

necrotizing granulomatous vasculitis, glomeruli, neutrophil cytoplasmic antibodies (ANCA), Wegeners granulomatosis.

ABSTRACT

Wegener's granulomatosis is a necrotizing granulomatous vasculitis that affects the upper respiratory tract, lower and glomeruli. This and microscopic polyangiitis are vascular diseases associated with neutrophil cytoplasmic antibodies (ANCA). Wegener's granulomatosis is a rare disease, cause not yet defined, with an incidence of 0.4 cases per 100,000 inhabitants. We report the case of a female patient of 15 years old, no medical history of importance but with C3 and C4 report normal, positive ANA and positive c-ANCA 1:40. The literature review updates the knowledge about this disease that allow the clinician to diagnose keep it in mind to try.


REFERENCES

  1. Wegener F. Wegener’s granulomatosis. Thoughts and observations of a pathologist. European Arch Otorhinolaryngology 1990; 247:133-142.

  2. Young P, Finn B. ¿Se debería seguir llamando enfermedad de Wegener? Medicine 2009;69:291-292.

  3. Mender M, Díaz A. Granulomatosis de Wegener. Tratamiento. Revista de posgrado de la VI cátedra de medicina 2005;44:21-23.

  4. Langford, Carol. Treatment of ANCA-associated vasculitis. NEJM. 2003; 349:1-4.

  5. Brizon, María. Anticuerpos anticitoplasma del neutrófilo (ANCA) Prevalencia en población sana de Santa Fé. Revista FABICIB. 2001; 5:155-157

  6. Michel, Papo. Anticuerpos anticitoplasma del neutrófilo (ANCA) en la enfermedad inflamatoria del intestino. Casos-Controles. Med Clin (Barc). 1998;110:11-15.

  7. Salazar, Kenneth. Granulomatosis de Wegener y vasculitis asociadas con anticuerpos anticitoplasma de neutrófilos (ANCA). Revista médica de Costa Rica y Centroamérica. LXV 2008; 583: 175-177.

  8. Iglesias-Gamarra, Antonio; Coral, Paola, et al. Historia de las vasculitis primarias en Latinoamérica. Revista colombiana de Reumatología. 2007;14:261-286.

  9. Bonaci-Nikolic, Branka, et al. Antineutrophil cytoplasmic antibody (ANCA)-associated autoimmune diseases induced by antithyroid drugs: comparison with idiopathic ANCA vasculitides. Arthritis Research & Therapy. 2005; 7: 1072-1081

  10. Jennette, Charles et al. Pathogenesis of antineutrophil cytoplasmic antibody vasculitis. Current opinion in nephrology and hypertension. 2011; 20:263-270.

  11. Wegener F. Wegener’s granulomatosis. Thoughts and observations of a pathologist. European Arch Otorhinolaryngology 1990; 247:133-142.

  12. Young P, Finn B. ¿Se debería seguir llamando enfermedad de Wegener? Medicine 2009;69:291-292.

  13. Mender M, Díaz A. Granulomatosis de Wegener. Tratamiento. Revista de posgrado de la VI cátedra de medicina 2005;44:21-23.

  14. Langford, Carol. Treatment of ANCA-associated vasculitis. NEJM. 2003; 349:1-4.

  15. Brizon, María. Anticuerpos anticitoplasma del neutrófilo (ANCA) Prevalencia en población sana de Santa Fé. Revista FABICIB. 2001; 5:155-157

  16. Michel, Papo. Anticuerpos anticitoplasma del neutrófilo (ANCA) en la enfermedad inflamatoria del intestino. Casos-Controles. Med Clin (Barc). 1998;110:11-15.

  17. Salazar, Kenneth. Granulomatosis de Wegener y vasculitis asociadas con anticuerpos anticitoplasma de neutrófilos (ANCA). Revista médica de Costa Rica y Centroamérica. LXV 2008; 583: 175-177.

  18. Iglesias-Gamarra, Antonio; Coral, Paola, et al. Historia de las vasculitis primarias en Latinoamérica. Revista colombiana de Reumatología. 2007;14:261-286.

  19. Bonaci-Nikolic, Branka, et al. Antineutrophil cytoplasmic antibody (ANCA)-associated autoimmune diseases induced by antithyroid drugs: comparison with idiopathic ANCA vasculitides. Arthritis Research & Therapy. 2005; 7: 1072-1081

  20. Jennette, Charles et al. Pathogenesis of antineutrophil cytoplasmic antibody vasculitis. Current opinion in nephrology and hypertension. 2011; 20:263-270.

  21. Leavitt RY, Fauci AS, et al. The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis Rheum. 1990;8:1101-1107

  22. Watts, Richard; Lane Suzanne, et al. Development and validation of a consensus methodology for the classification of the ANCA-associated vasculitides and polyarteritis nodosa for epidemiological studies. Ann Rheum Dis. 2007; 66: 222-227.

  23. Vera-Lastra, Olga. Granulomatosis de Wegener, abordaje diagnóstico y terapéutico. Gac Méd Méx. (2009) 146:121-129.

  24. Jayne, David; Gaskin, Gill. Randomized trial of plasma exchange or high dosage methylprednisolone as adjunctive therapy for severe renal vasculitis. J Am Soc Nephrol 2007; 18: 2180–2188.

  25. Hiemstra, Thomas, et al. Mycophenolate Mofetil vs Azathioprine for Remission Maintenance in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis. JAMA. 2010; 304:2381-2388.




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Med Int Mex. 2012;28