TY - JOUR
T1 - Wegener's Granulomatosis
T2 - Clinical features and outcome in seventeen patients
AU - LITTLEJOHN, G. O.
AU - RYAN, P. J.
AU - HOLDSWORTH, S. R.
PY - 1985/1/1
Y1 - 1985/1/1
N2 - Seventeen patients with Wegener's granulomatosis are reviewed. Eleven males and six females, with a mean age of 46.9± 4.5 years, were followed for 35.7 ± 9.0 months. Mean duration from time of onset of symptoms to diagnosis was 8.5 ±3.1 months. Constitutional symptoms (100%), lower respiratory tract involvement (93%), renal involvement (87%), and upper respiratory tract involvement (80%) were the most frequent clinical manifestations. Arthritis (60%), dermal vasculitis (60%), and inflammatory ocular disease (40%) were also common. Elevated ESR (94%), anemia (70%), and lymphopenia (77%) were frequent laboratory findings prior to treatment. Five patients had renal failure at presentation and two patients progressed from no renal involvement at presentation to renal failure at diagnosis, while five patients progressed from renal involvement without impairment at diagnosis to end‐stage renal failure. Seven patients died; six of these deaths were related to active Wegener's granulomatosis. The patients with a severe systemic vasculitis, and renal involvement had a poor outcome while predominant respiratory disease had a good prognosis.
AB - Seventeen patients with Wegener's granulomatosis are reviewed. Eleven males and six females, with a mean age of 46.9± 4.5 years, were followed for 35.7 ± 9.0 months. Mean duration from time of onset of symptoms to diagnosis was 8.5 ±3.1 months. Constitutional symptoms (100%), lower respiratory tract involvement (93%), renal involvement (87%), and upper respiratory tract involvement (80%) were the most frequent clinical manifestations. Arthritis (60%), dermal vasculitis (60%), and inflammatory ocular disease (40%) were also common. Elevated ESR (94%), anemia (70%), and lymphopenia (77%) were frequent laboratory findings prior to treatment. Five patients had renal failure at presentation and two patients progressed from no renal involvement at presentation to renal failure at diagnosis, while five patients progressed from renal involvement without impairment at diagnosis to end‐stage renal failure. Seven patients died; six of these deaths were related to active Wegener's granulomatosis. The patients with a severe systemic vasculitis, and renal involvement had a poor outcome while predominant respiratory disease had a good prognosis.
KW - granulomatous vasculitis
KW - Wegener's Granulomatosis
UR - http://www.scopus.com/inward/record.url?scp=0022255106&partnerID=8YFLogxK
U2 - 10.1111/j.1445-5994.1985.tb04016.x
DO - 10.1111/j.1445-5994.1985.tb04016.x
M3 - Article
C2 - 3861166
AN - SCOPUS:0022255106
VL - 15
SP - 241
EP - 245
JO - Internal Medicine Journal
JF - Internal Medicine Journal
SN - 1444-0903
IS - 2
ER -