Localized Wegener's granulomatosis relapsing as diffuse massive intra-alveolar hemorrhage.

Abstract:

:In a 75-year-old patient presenting with a solitary pulmonary mass, a localized form of Wegener's granulomatosis was diagnosed after lobectomy. In the absence of extrapulmonary manifestations and after a benign postoperative course, the patients was discharged without medical treatment. Three months later, diffuse alveolar hemorrhage developed abruptly, necessitating mechanical ventilation, and was followed by cardiac complications and a fatal outcome. This case and another previously reported strongly suggest the need for medical treatment in patients with a localized form of pulmonary Wegener's granulomatosis, even when complete remission after surgical resection of the lung lesion seems to have been achieved.

journal_name

Chest

journal_title

Chest

authors

Odeh M,Best LA,Kerner H,Bassan H,Oliven A

doi

10.1378/chest.104.3.955

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

955-6

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)38905-X

journal_volume

104

pub_type

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