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  • Title: A patient with Wegener's granulomatosis with initial clinical presentations of Henoch-Schönlein purpura.
    Author: Miyata M, Kanno K, Nishimaki T, Sakuma F, Iwatsuki K, Kasukawa R.
    Journal: Intern Med; 2001 Oct; 40(10):1050-4. PubMed ID: 11688833.
    Abstract:
    The initial presentation of a patient with Wegener's granulomatosis was indistinguishable from that of Henoch-Schönlein purpura. The patient presented with skin purpura and pulmonary hemorrhage followed by purpura in the colon. The diagnosis of this patient at that time was Henoch-Schönlein purpura. With time, massive lesions in the sinus and those with cavities in the lung became apparent, and a specimen obtained from the sinus massive lesion was disclosed to be granulomatous inflammation. Retrospectively, the proteinase 3 antineutrophil cytoplasmic antibody turned out to be strongly positive in her stored serum from the time of the initial presentation.
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