Elliot W. Ehrich, MD; James L. McGuire, MD; Hugh O. McDevitt, MD
To the Editor: We report the long-term follow-up of a patient (Case 2) described previously in this journal (1). The patient presented in 1968 at age 23 with fever, malaise, purulent rhinitis, and right otitis media. She had multiple nodules on a chest roentgenogram, mucosal thickening on a sinus roentgenogram, and proteinuria with erythrocyte casts. Lung and sinus biopsies were consistent with Wegener granulomatosis. She was treated with intravenous nitrogen mustard followed by oral prednisone and chlorambucil through September 1970 with complete resolution of symptoms and laboratory findings. The patient remained entirely asymptomatic off medication until February 1990 when she
Ehrich EW, McGuire JL, McDevitt HO. A Late Relapse of Wegener Granulomatosis. Ann Intern Med. ;112:965. doi: 10.7326/0003-4819-112-12-965_1
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Published: Ann Intern Med. 1990;112(12):965.
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