RT Journal
A1 Chetty KG, Jordan IO, Light RW
T1 WEgener's granulomatosis
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1979
FD November 1
VO 139
IS 11
SP 1319
OP 1319
DO 10.1001/archinte.1979.03630480091040
UL http://dx.doi.org/10.1001/archinte.1979.03630480091040
AB To the Editor.— 
    We observed a patient with Wegener's granulomatosis that was limited to the lung for five years. Then the nasal mucosa, kidneys, and other viscera became involved. Such a late transition of the limited form of Wegener's granulomatosis to the classical form has not been reported, to our knowledge.1Report of a Case.— 
    A 56-year-old patient was found to have a nodular lesion measuring 1 × 1.5 cm in his left lung on chest roentgenogram in September 1963. He was treated with antituberculosis drugs until March 1964. At this time, a left thoracotomy was performed because the lesion persisted. Three small nodular lesions were found in the superior segment of the left lower lobe. Biopsy specimens of the lesions were interpreted as showing caseating granulomas. He continued to do well until October 1968, at which time nasal congestion developed. Laboratory data showed evidence of renal failure. A