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  • Wegenerjeva granulomatoza - prikaz dveh primerov = Wegener's granulomatosis - two case reports
    Remškar, Zlata ...
    Background. Teo case reports of Wegener's granulomatosis are reported. The first patient had tipical clinical presentation of the disease, which made thediagnosis easy and led to an early treatment. ... In the second patient diagnosis of Wegener's granulomatosis was highly likely. It was based on the combination of untipical diagnostic parameters. The diagnosis was reached evenharder due to concomitant active tuberculosis which evolved during the diagnostic procedure. It was due to reactivation of a postprimary tuberculos focus in the lungs of immunocompromized patient. Treatment of systemic vasculitis, more precisely defined as Wegener's granulomatosis, with cyclophosphamide and corticosteroids, stopped the progression of the disease in both patients. Treatment of tuberculosis in the second patient proceeded concomitantly without complications, and was prolonged due to immunodeficiencyof the patient. Conclusions. We emphasize the importance of early recognition of Wegener's granulomatosis especially in the patients with untipical clinical course of the disease. Early treatment lead to significant clinical improvement. We believe the delay in diagnosis and treatment might have had, taking in account deteriorating kidney function, detrimental consequences for the patient.
    Vrsta gradiva - članek, sestavni del
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 9633241