A granulomatose de Wegener (GW) é uma vasculite com manifestações multissistémicas, atingindo frequentemente o aparelho respiratório, e o rim.
Descreve-se um caso clinico cuja manifestação inaugural da doença ocorreu no pulmão (hemorragia alveolar difusa) numa mulber grávida, situação esta pouco frequente. A doente apresentava envolvimento renal assintomático. 0 diagnóstico baseou-se num quadro clinico coerente com envolvimento do polmão e rim e na existência de um cANCA positivo.
REV PORT PNEUMOL 1998; IV (6): 611-615
Wegener granulomatosis (WG) is a vasculitis with multisystemic manifestations, affecting more frequently the upper and lower respiratory tract and the kidney. The authors describe a case where the ftrst symptoms of WG (a severe pulmonary hemorrage) appeared in a pregnant woman, which is a rare situation.
The patient bad assymptomatic kidney involvement. The diagnosis was supported by a typical and consistent clinical findings (lung and kidney involvement) and a positive c ANCA.
REV PORT PNEUMOL 1998; IV (6): 611-615
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