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      Wegener’s Granulomatosis Limited to the Kidney as a Masslike Lesion

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          Abstract

          We report on a 45-year-old female who presented with end-stage renal disease due to Wegener’s granulomatosis limited to the kidneys. Ultrasonography and computed tomography revealed a masslike expansion involving the upper pole of an otherwise small right kidney. Histopathology of a nephrectomy specimen revealed cystic dilatation of renal tubules and active lesions of Wegener’s granulomatosis in the upper pole. The lower part of the kidney showed atrophic changes. Wegener’s granulomatosis presenting as a renal mass is extremely rare. Only 3 cases have been previously reported in the literature. Wegener’s granulomatosis only limited to the kidney is also rare. A brief review of 23 previously reported cases who initially presented with renal disease is presented. All but 2 patients subsequently manifested extrarenal lesions. Our patient continues to be free of any extrarenal involvement 18 months following presentation, although subsequent development of extrarenal lesions cannot be ruled out.

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          Author and article information

          Journal
          NEF
          Nephron
          10.1159/issn.1660-8151
          Nephron
          S. Karger AG
          1660-8151
          2235-3186
          1994
          1994
          17 December 2008
          : 68
          : 4
          : 500-504
          Affiliations
          Departments of aMedicine, bPathology and cRadiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
          Article
          188314 Nephron 1994;68:500–504
          10.1159/000188314
          7870236
          © 1994 S. Karger AG, Basel

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          Page count
          Pages: 5
          Categories
          Case Report

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