Wegner's granulomatosis presented as fever and anuria
-
Mohammad Mahmoud Bourini
,
Basel Bassam Hasasnah
,
Afnan W.M. Jobran
,
Baraa Matoor
,
Amira Yasmine Benmelouka
Abstract
A 62 years old Palestinian woman with a history of diabetes mellitus presented to our department with a decrease in urine output since a week with a complete anuria with the onset of bilateral flank pain more prominent in the right side since the last 3 days. The pain was dull in nature, continuous, severe and changing with the position. Other symptoms included epistaxis, anorexia, nausea, and eye redness appearing 10 days before the admission which resolved in 2 days on home remedies (herbal compressor).
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9. Kamali S, Erer B, Artim-Esen B, Gul A, Ocal L, Konice M, et al. Predictors of damage and survival in patients with Wegener’s granulomatosis: analysis of 50 patients. J Rheumatol. 2010;37(2):374–8.
10. Berden A, Göçeroğlu A, Jayne D, Luqmani R, Rasmussen N, Bruijn JA, et al. Diagnosis and management of ANCA associated vasculitis. BMJ. 2012;344:e26.
11. Comarmond C, Cacoub P. Granulomatosis with polyangiitis (Wegener): clinical aspects and treatment. Autoimmun Rev. 2014;13(11):1121–5.
12. Jennette JC, Nachman PH. ANCA glomerulonephritis and vasculitis. Clin J Am Soc Nephrol. 2017;12(10):1680–91.
13. Rathmann J, Jayne D, Segelmark M, Jönsson G, Mohammad AJ. Incidence and predictors of severe infections in ANCA-associated vasculitis: a population-based cohort study. Rheumatology (Oxford). 2021;60(6):2745-54.
14. He Y, Liu J, Gao B. Wegener’s granulomatosis with pulmonary fungal infection: A case report and brief review. J Int Med Res. 2012;40(1):383–92.
15. Jayne DRW, Gaskin G, Rasmussen N, Abramowicz D, Ferrario F, Guillevin L, et al. Randomized trial of plasma exchange or high-dosage methylprednisolone as adjunctive therapy for severe renal vasculitis. J Am Soc Nephrol. 2007;18(7):2180–8.
2. Hoffman GS, Kerr GS, Leavitt RY, Hallahan CW, Lebovics RS, Travis WD, et al. Wegener granulomatosis: an analysis of 158 patients. Ann Intern Med. 1992;116(6):488–98.
3. Lagnese ME, Dhaliwal G. An initial diagnosis of Wegener’s granulomatosis in an 82-year-old-woman. Hosp Physician. 2007;43(3):33-6.
4. Dadonienė J, Pileckytė M, Baranauskaitė A, Kirdaitė G. Clinical characteristics and long-term outcomes of 35 patients with Wegener’s granulomatosis followed up at two rheumatology centers in Lithuania. Medicina (B Aires). 2010;46(4):256.
5. Luqmani RA, Robinson H. Introduction to, and classification of, the systemic vasculitides. Best Pract Res Clin Rheumatol. 2001;15(2):187–202.
6. Hunter RW, Welsh N, Farrah TE, Gallacher PJ, Dhaun N. ANCA associated vasculitis. BMJ. 2020;369:m1070.
7. Yang B, Shen M. Clinicopathological analysis of patients with granulomatosis with polyangiitis (Wegener’s) complicated by acute renal failure. Zhonghua Yi Xue Za Zhi. 2013;93(15):1159–61. [Article in Chinese]
8. Bajema IM, Hagen EC, Van Der Woude FJ, Bruijn JA. Wegener’s granulomatosis: a meta-analysis of 349 literary case reports. J Lab Clin Med. 1997;129(1):17–22.
9. Kamali S, Erer B, Artim-Esen B, Gul A, Ocal L, Konice M, et al. Predictors of damage and survival in patients with Wegener’s granulomatosis: analysis of 50 patients. J Rheumatol. 2010;37(2):374–8.
10. Berden A, Göçeroğlu A, Jayne D, Luqmani R, Rasmussen N, Bruijn JA, et al. Diagnosis and management of ANCA associated vasculitis. BMJ. 2012;344:e26.
11. Comarmond C, Cacoub P. Granulomatosis with polyangiitis (Wegener): clinical aspects and treatment. Autoimmun Rev. 2014;13(11):1121–5.
12. Jennette JC, Nachman PH. ANCA glomerulonephritis and vasculitis. Clin J Am Soc Nephrol. 2017;12(10):1680–91.
13. Rathmann J, Jayne D, Segelmark M, Jönsson G, Mohammad AJ. Incidence and predictors of severe infections in ANCA-associated vasculitis: a population-based cohort study. Rheumatology (Oxford). 2021;60(6):2745-54.
14. He Y, Liu J, Gao B. Wegener’s granulomatosis with pulmonary fungal infection: A case report and brief review. J Int Med Res. 2012;40(1):383–92.
15. Jayne DRW, Gaskin G, Rasmussen N, Abramowicz D, Ferrario F, Guillevin L, et al. Randomized trial of plasma exchange or high-dosage methylprednisolone as adjunctive therapy for severe renal vasculitis. J Am Soc Nephrol. 2007;18(7):2180–8.
| Files | ||
| Issue | Vol 6 No 4 (2022): Autumn (October) | |
| Section | Case based learning points | |
| DOI | 10.18502/fem.v6i4.10446 | |
| Keywords | ||
| Wegener’s granulomatosis | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mahmoud Bourini M, Bassam Hasasnah B, W.M. Jobran A, Matoor B, Yasmine Benmelouka A. Wegner’s granulomatosis presented as fever and anuria. Front Emerg Med. 2022;6(4):e59.
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