A clinical case of lung damage in granulomatosis with polyangiitis
https://doi.org/10.20538/1682-0363-2021-3-219-224
Abstract
The article presents a case of granulomatosis with polyangiitis, which is difficult for clinical diagnosis. Recently, the incidence of systemic vasculitis has increased, and given the similarity of clinical symptoms with other pathologies, a doctor of any specialty should carry out differential diagnosis. Granulomatosis with polyangiitis is characterized mainly by damage to the upper respiratory tract, lungs, and kidneys. The main method for diagnosing granulomatosis with polyangiitis is biopsy with histological examination, which allows to detect inflammation in the affected tissues. A feature of granulomatosis with polyangiitis is detection of antineutrophil cytoplasmic antibodies in the blood serum. However, these antibodies are recorded only in 80% of patients and are not detected in the remission phase, which makes diagnosis much more difficult.
About the Authors
A. Yu. KraposhinaRussian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3A, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
I. V. Demko
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3A, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
E. A. Sobko
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3A, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
N. V. Gordeeva
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3A, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
I. A. Soloveva
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3A, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
I. V. Matveeva
Russian Federation
3A, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
O. V. Kazmerchuk
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
A. B. Katser
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
Yu. I. Abramov
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
N. V. Malchik
Russian Federation
1, Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
References
1. Баранов А.А., Алексеева Е.И. Клинические рекомендации для педиатров. Ревматические болезни у детей. М.: ПедиатрЪ, 2016: 144.
2. Petty R.E., Laxer R.M., Lindsley C.B., Wedderburn L. Textbook of pediatric rheumatology; 5th ed. Philadelphia: Elsevier Saunders. 2016: 736.
3. Гордеева Н.В., Демко И.В., Мамаева М.Г., Зеленый С.В., Гусева И.С., Собко Е.А., Крапошина А.Ю., Соловьева И.А., Чубарова С.В. Гиперчувствительный пневмонит (трудный клинический случай). Сибирское медицинское обозрение. 2015; 5: 92–95.
4. Edmondson S.J., Attaran S., Rosendahl U.P. Complete resolution of Wegener”s granulomatosis lung granuloma after aortic root replacement. Aorta (Stamford). 2016; 4 (1): 25–28. DOI: 10.12945/j.aorta.2016.15.009.
5. Kubaisi B., Abu Samra K., Foster C.S. Granulomatosis with polyangiitis (Wegener”s disease): An updated review of ocular disease manifestations. Intractable Rare Dis. Res. 2016; 5 (2): 61–69. DOI: 10.5582/irdr.2016.01014.
6. Rosenbaum J.T., Choi D., Wilson D., Grossniklaus H.E., Harrington C.A., Sibley C.H., Dailey R.A., Ng J.D., Steele E.A., Czyz C.N., Foster J.A., Tse D., Alabiad C., Dubovy S., Parekh P.K., Harris G.J., Kazim M., Patel P.J., White V.A., Dolman P.J., Korn B.S., Kikkawa D.O., Edward D.P., Alkatan H.M., al-Hussain H., Yeatts R.P., Selva D., Stauffer P., Planck S.R. Orbital pseudotumor can be a localized form of granulomatosis with polyangiitis as revealed by gene expression profiling. Exp. Mol. Pathol. 2015; 99 (2): 271–278. DOI: 10.1016/j.yexmp.2015.07.002.
Review
For citations:
Kraposhina A.Yu., Demko I.V., Sobko E.A., Gordeeva N.V., Soloveva I.A., Matveeva I.V., Kazmerchuk O.V., Katser A.B., Abramov Yu.I., Malchik N.V. A clinical case of lung damage in granulomatosis with polyangiitis. Bulletin of Siberian Medicine. 2021;20(3):219-224. https://doi.org/10.20538/1682-0363-2021-3-219-224