A Case of Wegener's Granulomatosis that Presented as a Single Lung Mass.

Oh, In Jae; Jeong, Jong Pil; Kim, Soo Ok; Son, Jun Gwang; Ban, Hee Jung; Lim, Jung Hwan; Cho, Gye Jung; Ju, Jin Young; Kim, Kyu Sik; Kim, Yu Il; Lim, Sung Chul; Kim, Young Chul

doi:2007.63.1.88

Tuberc Respir Dis > Volume 63(1); 2007 > Article

Case Report

Tuberculosis and Respiratory Diseases 2007;63(1):88-93.
DOI: https://doi.org/10.4046/trd.2007.63.1.88 Published online July 1, 2007.

A Case of Wegener's Granulomatosis that Presented as a Single Lung Mass.

In Jae Oh, Jong Pil Jeong, Soo Ok Kim, Jun Gwang Son, Hee Jung Ban, Jung Hwan Lim, Gye Jung Cho, Jin Young Ju, Kyu Sik Kim, Yu Il Kim, Sung Chul Lim, Young Chul Kim

Department of Internal Medicine, Chonnam National University, Medical School, Gwangju, Korea. cyberkks@chonnam.ac.kr

Abstract

Wegener's granulomatosis is a disease with an unknown etiology that is characterized by necrotizing granulomatous vasculitis involving the upper and lower respiratory tract and the kidneys. The typical pulmonary findings are bilaterally involved multiple variable sized nodules. We report a case of Wegener's granulomatosis that presented as a single lung mass. A male patient presented with a nasal obstruction, arthralgia, cough, and intermittent dyspnea. The chest radiograph showed a mass, approximately 4.5 cm in diameter, in the right lower lobe. Lung cancer or tuberculosis was initially considered. However, the clinical, laboratory and pathological findings of the mass indicated Wegener's granulomatosis. The patient was administered prednisolone and cyclophosphamide, and improved temporarily. Unfortunately, the immunocompromised patient expired as a result of respiratory failure with pneumonia.

Key Words: Wegener's granulomatosis, Single lung mass, Opportunistic infection