Do pulmonary findings of granulomatosis with polyangiitis respond to anti-tuberculosis treatment?

  • Döndü Üsküdar Cansu
  • Nilgün Işıksalan Özbülbül
  • Gülsüm Akyol
  • Deniz Arık
  • Cengiz Korkmaz
Cases with a Message
  • 24 Downloads

Abstract

Granulomatosis with polyangiitis (GPA) involves upper and lower respiratory tracts and kidneys. Lung involvement is among the most important organ involvements in GPA. GPA’s lung involvement might be confused with other granulomatous conditions with lung involvement. In this report, we presented clinical features of two cases with GPA who had been diagnosed as tuberculosis (TBC) and well treated with anti-tuberculosis (anti-TBC) drugs. However, one of two cases had ear–nose–throat (ENT) manifestations before the diagnosis of TBC and her extrapulmonary findings related with GPA have added to clinical features in the following years. In the second case, the manifestations of GPA appeared after 13 months of anti-TBC treatment. We speculated that lung involvement in these cases may be due to GPA rather than TBC. Our aim was to highlight difficulties in the differential diagnosis between GPA and TBC and suggest the possible beneficial effect of anti-TBC drugs on the lung involvement due to GPA in light of the literature data.

Keywords

Wegener granulomatosis Granulomatosis with polyangiitis Tuberculosis Anti-tuberculosis treatment 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from our patients.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Rheumatology, Department of Internal Medicine, School of MedicineEskişehir Osmangazi UniversityEskisehirTurkey
  2. 2.Department of RadiologyEskişehir Osmangazi UniversityEskisehirTurkey
  3. 3.Department of Internal MedicineEskişehir Osmangazi UniversityEskisehirTurkey
  4. 4.Division of PathologyEskişehir Osmangazi UniversityEskisehirTurkey

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