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Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 75-77

Wegener's granulomatosis presenting as spontaneous pneumothorax in young adult

1 Department of Medicine, Jawahar Lal Nehru Medical College, DMIMSU, Sawangi, Wardha, Maharastra, India
2 Department of Ear, Nose and Throat, Jawahar Lal Nehru Medical College, DMIMSU, Sawangi, Wardha, Maharastra, India

Correspondence Address:
Sunil Kumar
Department of Medicine, Jawahar Lal Nehru Medical College, DMIMS, Sawangi, Wardha 442 004, Maharastra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-8775.135117

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Pulmonary involvement in Wegener's granulomatosis (WG) usually starts with nonspecific symptoms such as cough, dyspnea, hemoptysis, and pleuritis. Spontaneous pneumothorax as initial presentation is extremely rare. Although its real incidence is unknown, according to different classic series, it ranges between 3 and 5% of the cases. In this case, a 28-year-old male presented with complaints of epistaxis and breathlessness, which was diagnosed as WG with pneumothorax on the basis of chest X-ray and computed tomography (CT) chest and pathological confirmation by high level of serum cytoplasmic antineutrophil cytoplasmic antibody (ANCA).

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