A Case of Limited Wegener's Granulomatosis with Gastroenteritis and Mesenteric Lymphadenopathy.
10.4166/kjg.2010.55.5.331
- Author:
Yong Geun JEONG
1
;
Tae Hyo KIM
;
Chang Min LEE
;
Ki Shik SHIM
;
In Kyu MOON
;
Sang Il LEE
;
Woon Tae JUNG
;
Ok Jae LEE
Author Information
1. Departments of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. kimthy@medimail.co.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Wegener's granulomatosis;
Vasculitis;
Gastrointestinal tract;
Mesenteric lymphadenopathy
- MeSH:
Aged;
Anti-Inflammatory Agents/therapeutic use;
Colonoscopy;
Diagnosis, Differential;
Gastroenteritis/complications/*diagnosis;
Humans;
Lymphatic Diseases/complications/*diagnosis/pathology;
Male;
Prednisolone/therapeutic use;
Tomography, X-Ray Computed;
Wegener Granulomatosis/complications/*diagnosis/drug therapy
- From:The Korean Journal of Gastroenterology
2010;55(5):331-335
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Wegener's granulomatosis (WG) is a disease characterized by a granulomatous necrotizing vasculitis of small vessels. Although any organ systems can be involved, gastrointestinal involvement in WG is notably uncommon. We present a case of 67-year-old man who was admitted with abdominal pain and diarrhea lasting for 3 weeks. Colonoscopy and abdominal CT scan revealed vasculitis and multiple mesenteric lymphadenopathy. Jejunum and mesenteric lymph nodes biopsies confirmed limited form of WG. The present case indicates that WG might involve only gastrointestinal tract and the histological confirmation is important for diagnosis.
