Summary:
Wegener’s Granulomatosis(WG) is a rare type of multisystem
small to medium vessel vasculitis with necrotizing
granulomatous inflammation involving the upper airway,
lungs and the kidneys. In generalized WG, patient invariably
dies within few months if left untreated. The key to better
prognosis is early treatment once the diagnosis is made.
Our patient is a 21yr young lady who was initially diagnosed
as nasal septal abscess and later as pulmonary tuberculosis.
She was treated accordingly but did not improve.
When presented to us, she had asymmetric polyarthritis,
cough with mucoid expectoration, intermittent mild
haemoptysis as well as fever with bilateral nasal obstruction