Granulomatosis with polyangitisis characterized by upper and lower respiratory tract with kidney involvement. We report a case of 32 year old male patient with clinical features resembling rheumatoid arthritis with vasculitis and oral lesion turns out to be rare presentation of Granulomatosis with polyangitis with ulcerative tonsillar lesion and Anti-PR3 (c-ANCA) positive.

Keywords: Granulomatosis with polyangitis, Rheumatoid arthritis, vasculitis, Oral ulcerative lesion, Upper respiratory tract, Lower respiratory tract, Arthritis.

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Dr Ponambalaganapathi Nadar

Postgraduate, Department of General Medicine, Chettinad Hospital & Research Institute