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GRANULOMATOSIS WITH POLYANGIITIS WITH BILATERAL FACIAL PALSY AND ORAL ULCERS - AN ATYPICAL PRESENTATION

Article scientifique 2019 Anglais

Résumé

Granulomatosis with Polyangiitis (GPA) is a systemic vasculitis of autoimmune etiology, characterized by the triad: necrotizing granulomatous inflammation of the respiratory tract, disseminated vasculitis and glomerulonephritis. Early diagnosis requires a high level of suspicion, being essential the anatomopathological examination and the presence of antineutrophil cytoplasmic antibodies directed against proteinase 3 (c-ANCA). Among the ANCA - associated vasculitis, peripheral neuropathy is more commonly observed in eosinophilic granulomatosis with polyangiitis (60 – 80%) than in microscopic polyangiitis (40 – 50%) or GPA (20 – 25%). Neuropathy is not usually associated with life threatening manifestations, usually affects motor nerves and is long-lasting.

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Ramos, A., Bezerra, A., Luz, S., Silva, F., HOLANDA, R., Lucena, L., MENEZES, B., BRITO, A., UNIFACISA, C. (2019). GRANULOMATOSIS WITH POLYANGIITIS WITH BILATERAL FACIAL PALSY AND ORAL ULCERS - AN ATYPICAL PRESENTATION. https://doi.org/10.5151/sbr2019-113

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