Abstract
We are presenting a case of Granulomatosis with polyangitis (GPA) formerly known as wegner’s granulomatosis in a young non smoker male who presented with fever, productive cough, hemoptysis, headache, and epistaxis of two months duration. He was earlier treated as a case of pulmonary tuberculosis with no significant improvement. On evaluation he was found to have paranasal sinus and lung involvement and his laboratory findings showed C ANCA (PR3) =102 u/ml, tissue biopsy from a polypoidal nasal mass showed granuloma with vasculitis, based on these findings he was diagnosed as a case of GPA and treated with Cyclophosphamide and Steroids with good response.
Keywords: GPA= Granulomatosis with polyangitis, C ANCA= cytoplasmic antineutrophil cytoplasmic antibodies
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Corresponding Author
Dr. M. Umar. Majid
Department of Pulmonology, SKIMS MC Hospital
Bemina Srinagar Kashmir India.
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