A Case of Wegener's Granulomatosis with Central Nervous System Involvement Mimicking Lung Cancer with Brain Metastasis.
10.4078/jrd.2013.20.3.181
- Author:
Joo Hee PARK
1
;
Young Ho LEE
;
Jong Dae JI
;
Gwan Gyu SONG
;
Soon Wook LEE
;
Seu Hee YOO
;
Ja Young RYU
;
Hae Rim KIM
;
Keun Hee KANG
;
Seong Hee KANG
;
Sun Wha KIM
;
Sung Jae CHOI
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. csjmd@hotmail.com
- Publication Type:Case Report
- Keywords:
Wegener's granulomatosis;
Central nervous system involvement;
Antineutrophil cytoplasmic antibody-associated vasculitis
- MeSH:
Basal Ganglia;
Biopsy;
Brain;
Central Nervous System;
Cyclophosphamide;
Glomerulonephritis;
Inflammation;
Lung;
Lung Neoplasms;
Neoplasm Metastasis;
Respiratory System;
Systemic Vasculitis;
Wegener Granulomatosis
- From:Journal of Rheumatic Diseases
2013;20(3):181-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
Wegener's granulomatosis (WG) classically consists of necrotizing granulomatous inflammation of the upper and/or lower respiratory tract, necrotizing glomerulonephritis, and an autoimmune necrotizing systemic vasculitis affecting predominantly small vessels. We report a case of WG with central nervous system (CNS) involvement. WG is being diagnosed through pulmonary nodule biopsy. A small nodular lesion in the left posterior basal ganglia of brain being highly suspicious for granulomatosis was detected by MRI. After IV pulse cyclophosphamide and oral corticosteroid treatment for over 4 months, clinical manifestations and CNS lesions in brain MRI is improved. WG might have multiple granulomatous lesions which could be misdiagnosed due to malignancy. CNS involvement in WG is rare but careful evaluation is necessary when there are suspicious symptoms or lesions in CNS.
