Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature

Wegener’s granulomatosis is characterized by a granulomatous arteritis involving the upper and lower respiratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestin...

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Main Authors: Glen A Fallows, Sean F Hamilton, Douglas S Taylor, S Bharati Reddy
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2000/423569
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author Glen A Fallows
Sean F Hamilton
Douglas S Taylor
S Bharati Reddy
author_facet Glen A Fallows
Sean F Hamilton
Douglas S Taylor
S Bharati Reddy
author_sort Glen A Fallows
collection DOAJ
description Wegener’s granulomatosis is characterized by a granulomatous arteritis involving the upper and lower respiratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestinal tract is uncommon. Cases have been reported of intestinal perforation, ulceration and hemorrhage. A patient whose initial presentation of Wegener’s granulomatosis was odynophagia secondary to esophageal vasculitis is described. Endoscopy revealed multiple punched out ulcerations in the esophagus, which resolved with standard therapy for systemic Wegener’s granulomatosis. There are only two previous reports of symptomatic esophageal vasculitis in patients with Wegener’s granulomatosis. These reports illustrate the need to consider odynophagia as a reflection of disease activity as opposed to complications of immunosuppressive therapy.
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spelling doaj-art-fae63dc55bb848e091b82ccca417d83d2025-02-03T01:04:18ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-0114544945110.1155/2000/423569Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the LiteratureGlen A Fallows0Sean F Hamilton1Douglas S Taylor2S Bharati Reddy3St Clare’s Mercy Hospital, St John’s, Newfoundland, CanadaSt Clare’s Mercy Hospital, St John’s, Newfoundland, CanadaSt Clare’s Mercy Hospital, St John’s, Newfoundland, CanadaSt Clare’s Mercy Hospital, St John’s, Newfoundland, CanadaWegener’s granulomatosis is characterized by a granulomatous arteritis involving the upper and lower respiratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestinal tract is uncommon. Cases have been reported of intestinal perforation, ulceration and hemorrhage. A patient whose initial presentation of Wegener’s granulomatosis was odynophagia secondary to esophageal vasculitis is described. Endoscopy revealed multiple punched out ulcerations in the esophagus, which resolved with standard therapy for systemic Wegener’s granulomatosis. There are only two previous reports of symptomatic esophageal vasculitis in patients with Wegener’s granulomatosis. These reports illustrate the need to consider odynophagia as a reflection of disease activity as opposed to complications of immunosuppressive therapy.http://dx.doi.org/10.1155/2000/423569
spellingShingle Glen A Fallows
Sean F Hamilton
Douglas S Taylor
S Bharati Reddy
Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature
Canadian Journal of Gastroenterology
title Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature
title_full Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature
title_fullStr Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature
title_full_unstemmed Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature
title_short Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature
title_sort esophageal involvement in wegener s granulomatosis a case report and review of the literature
url http://dx.doi.org/10.1155/2000/423569
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