Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis
The article presents a clinical case that confirms the importance of careful collection and analysis of medical history and active identification of pathology of the upper respiratory tract, middle ear and eyes typical of the debut of Wegener's granulomatosis. It demonstrates the need for early...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2019-10-01
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| Series: | Туберкулез и болезни лёгких |
| Subjects: | |
| Online Access: | https://www.tibl-journal.com/jour/article/view/1337 |
| _version_ | 1826563083917590528 |
|---|---|
| author | M. D. Romanov T. M. Levina |
| author_facet | M. D. Romanov T. M. Levina |
| author_sort | M. D. Romanov |
| collection | DOAJ |
| description | The article presents a clinical case that confirms the importance of careful collection and analysis of medical history and active identification of pathology of the upper respiratory tract, middle ear and eyes typical of the debut of Wegener's granulomatosis. It demonstrates the need for early testing of level of antibodies to the neutrophil cytoplasm in the blood serum (ANCA) and biopsy in the target organs giving the preference to less invasive transnasal biopsy. The positive results of early comprehensive immunosuppressive ex juvantibus therapy confirm the diagnosis of Wegener's granulomatosis. |
| first_indexed | 2024-03-12T04:58:14Z |
| format | Article |
| id | doaj.art-f66d17dbefd1415f9e96644fdf3cfc89 |
| institution | Directory Open Access Journal |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| last_indexed | 2025-03-14T09:58:20Z |
| publishDate | 2019-10-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj.art-f66d17dbefd1415f9e96644fdf3cfc892025-03-02T11:22:31ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062019-10-01979535810.21292/2075-1230-2019-97-9-53-581337Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosisM. D. Romanov0T. M. Levina1Ogarev Mordovia State UniversityOgarev Mordovia State UniversityThe article presents a clinical case that confirms the importance of careful collection and analysis of medical history and active identification of pathology of the upper respiratory tract, middle ear and eyes typical of the debut of Wegener's granulomatosis. It demonstrates the need for early testing of level of antibodies to the neutrophil cytoplasm in the blood serum (ANCA) and biopsy in the target organs giving the preference to less invasive transnasal biopsy. The positive results of early comprehensive immunosuppressive ex juvantibus therapy confirm the diagnosis of Wegener's granulomatosis.https://www.tibl-journal.com/jour/article/view/1337pneumonia complicated by an abscesswegener's granulomatosisdifferential diagnosis |
| spellingShingle | M. D. Romanov T. M. Levina Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis Туберкулез и болезни лёгких pneumonia complicated by an abscess wegener's granulomatosis differential diagnosis |
| title | Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis |
| title_full | Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis |
| title_fullStr | Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis |
| title_full_unstemmed | Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis |
| title_short | Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis |
| title_sort | difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of wegener s granulomatosis |
| topic | pneumonia complicated by an abscess wegener's granulomatosis differential diagnosis |
| url | https://www.tibl-journal.com/jour/article/view/1337 |
| work_keys_str_mv | AT mdromanov difficultiesinthedifferentialdiagnosisofpneumoniacomplicatedbyanabscessandalimitedvariantofwegenersgranulomatosis AT tmlevina difficultiesinthedifferentialdiagnosisofpneumoniacomplicatedbyanabscessandalimitedvariantofwegenersgranulomatosis |