TY - JOUR T1 - WEgener's granulomatosis AU - Chetty KG, Jordan IO, Light RW Y1 - 1979/11/01 N1 - 10.1001/archinte.1979.03630480091040 JO - Archives of Internal Medicine SP - 1319 EP - 1319 VL - 139 IS - 11 N2 - 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 SN - 0003-9926 M3 - doi: 10.1001/archinte.1979.03630480091040 UR - http://dx.doi.org/10.1001/archinte.1979.03630480091040 ER -