ROBERT W. PHILLIPS, M.D.; MELVIN W. TWIEST, M.D.
To the editor: We have seen a patient with Wegener's granulomatosis who had gangrene in the feet.
A 68-year-old white man was referred with purulent sinusitis of 2 years duration. He had had several surgical procedures. He had also had an episode of renal failure that resolved spontaneously, although blood chemical indicators of renal functions remained slightly elevated. Two months previously, a right peroneal neuropathy and several small, tender, purple, pretibial nodules were noted. Results of a sural nerve biopsy showed vasculitis with secondary demyelination. A short course of steroids resolved both problems. The patient's medical history included hypertension controlled
PHILLIPS RW, TWIEST MW. Wegener's Granulomatosis and Gangrene in the Feet. Ann Intern Med. ;99:571. doi: 10.7326/0003-4819-99-4-571_1
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Published: Ann Intern Med. 1983;99(4):571.
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