2012, Number 5
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Med Int Mex 2012; 28 (5)
Wegener Granulomatosis: Report of a Case and Review of the Literature
Calzada AJL, Jaramillo RH, Delgadillo MG, Macías DDM
Language: Spanish
References: 25
Page: 504-507
PDF size: 226.75 Kb.
ABSTRACT
Wegener's granulomatosis is a necrotizing granulomatous vasculitis that affects the upper respiratory tract, lower and glomeruli. This and
microscopic polyangiitis are vascular diseases associated with neutrophil cytoplasmic antibodies (ANCA). Wegener's granulomatosis is
a rare disease, cause not yet defined, with an incidence of 0.4 cases per 100,000 inhabitants. We report the case of a female patient of
15 years old, no medical history of importance but with C3 and C4 report normal, positive ANA and positive c-ANCA 1:40. The literature
review updates the knowledge about this disease that allow the clinician to diagnose keep it in mind to try.
REFERENCES
Wegener F. Wegener’s granulomatosis. Thoughts and observations of a pathologist. European Arch Otorhinolaryngology 1990; 247:133-142.
Young P, Finn B. ¿Se debería seguir llamando enfermedad de Wegener? Medicine 2009;69:291-292.
Mender M, Díaz A. Granulomatosis de Wegener. Tratamiento. Revista de posgrado de la VI cátedra de medicina 2005;44:21-23.
Langford, Carol. Treatment of ANCA-associated vasculitis. NEJM. 2003; 349:1-4.
Brizon, María. Anticuerpos anticitoplasma del neutrófilo (ANCA) Prevalencia en población sana de Santa Fé. Revista FABICIB. 2001; 5:155-157
Michel, Papo. Anticuerpos anticitoplasma del neutrófilo (ANCA) en la enfermedad inflamatoria del intestino. Casos-Controles. Med Clin (Barc). 1998;110:11-15.
Salazar, Kenneth. Granulomatosis de Wegener y vasculitis asociadas con anticuerpos anticitoplasma de neutrófilos (ANCA). Revista médica de Costa Rica y Centroamérica. LXV 2008; 583: 175-177.
Iglesias-Gamarra, Antonio; Coral, Paola, et al. Historia de las vasculitis primarias en Latinoamérica. Revista colombiana de Reumatología. 2007;14:261-286.
Bonaci-Nikolic, Branka, et al. Antineutrophil cytoplasmic antibody (ANCA)-associated autoimmune diseases induced by antithyroid drugs: comparison with idiopathic ANCA vasculitides. Arthritis Research & Therapy. 2005; 7: 1072-1081
Jennette, Charles et al. Pathogenesis of antineutrophil cytoplasmic antibody vasculitis. Current opinion in nephrology and hypertension. 2011; 20:263-270.
Wegener F. Wegener’s granulomatosis. Thoughts and observations of a pathologist. European Arch Otorhinolaryngology 1990; 247:133-142.
Young P, Finn B. ¿Se debería seguir llamando enfermedad de Wegener? Medicine 2009;69:291-292.
Mender M, Díaz A. Granulomatosis de Wegener. Tratamiento. Revista de posgrado de la VI cátedra de medicina 2005;44:21-23.
Langford, Carol. Treatment of ANCA-associated vasculitis. NEJM. 2003; 349:1-4.
Brizon, María. Anticuerpos anticitoplasma del neutrófilo (ANCA) Prevalencia en población sana de Santa Fé. Revista FABICIB. 2001; 5:155-157
Michel, Papo. Anticuerpos anticitoplasma del neutrófilo (ANCA) en la enfermedad inflamatoria del intestino. Casos-Controles. Med Clin (Barc). 1998;110:11-15.
Salazar, Kenneth. Granulomatosis de Wegener y vasculitis asociadas con anticuerpos anticitoplasma de neutrófilos (ANCA). Revista médica de Costa Rica y Centroamérica. LXV 2008; 583: 175-177.
Iglesias-Gamarra, Antonio; Coral, Paola, et al. Historia de las vasculitis primarias en Latinoamérica. Revista colombiana de Reumatología. 2007;14:261-286.
Bonaci-Nikolic, Branka, et al. Antineutrophil cytoplasmic antibody (ANCA)-associated autoimmune diseases induced by antithyroid drugs: comparison with idiopathic ANCA vasculitides. Arthritis Research & Therapy. 2005; 7: 1072-1081
Jennette, Charles et al. Pathogenesis of antineutrophil cytoplasmic antibody vasculitis. Current opinion in nephrology and hypertension. 2011; 20:263-270.
Leavitt RY, Fauci AS, et al. The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis Rheum. 1990;8:1101-1107
Watts, Richard; Lane Suzanne, et al. Development and validation of a consensus methodology for the classification of the ANCA-associated vasculitides and polyarteritis nodosa for epidemiological studies. Ann Rheum Dis. 2007; 66: 222-227.
Vera-Lastra, Olga. Granulomatosis de Wegener, abordaje diagnóstico y terapéutico. Gac Méd Méx. (2009) 146:121-129.
Jayne, David; Gaskin, Gill. Randomized trial of plasma exchange or high dosage methylprednisolone as adjunctive therapy for severe renal vasculitis. J Am Soc Nephrol 2007; 18: 2180–2188.
Hiemstra, Thomas, et al. Mycophenolate Mofetil vs Azathioprine for Remission Maintenance in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis. JAMA. 2010; 304:2381-2388.