Granulomatosis with polyangiitis (Wegener's granulomatosis) is one of the idiopathic immune-mediated small-vessel vasculitides described in humans which are characterised by the presence of circulating antineutrophil cytoplasmic antibodies. It most commonly involves capillaries, venules and arterioles of the ear, nose and throat, lungs and glomeruli. A case of destructive haemopurulent rhinitis associated with relapsing periods of pyrexia, lethargy and stiffness as well as generalised pulmonary infiltrates in a young Anatolian shepherd dog is presented that closely resembles granulomatosis with polyangiitis (GPA) as reported in humans. Perinuclear antineutrophil cytoplasmic antibodies (pANCA) were detected in the dog's serum. Signs resolved promptly and completely once immunosuppressive doses of prednisone were administered, and have not recurred. This is the first report on the use of pANCA to investigate rhinitis in dogs. It is also, to the authors' knowledge, the first description of a relapsing haemopurulent lytic rhinitis in this species. The concurrent manifestations of erosive haemopurulent rhinitis, ground-glass opacities on pulmonary computed tomography, pyrexia and listlessness resemble GPA as described in humans.
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Div Pulm Crit Care Med Allergy & Clin Immunol, Dept Med, Los Angeles, CA 90095 USAUniv Calif Los Angeles, David Geffen Sch Med, Div Pulm Crit Care Med Allergy & Clin Immunol, Dept Med, Los Angeles, CA 90095 USA
Lynch, Joseph P., III
Tazelaar, Henry
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机构:
Mayo Clin, Dept Lab Med & Pathol, Scottsdale, AZ USAUniv Calif Los Angeles, David Geffen Sch Med, Div Pulm Crit Care Med Allergy & Clin Immunol, Dept Med, Los Angeles, CA 90095 USA
机构:
Shahid Beheshti Univ Med Sci, Pharmaceut Sci Res Ctr, Tehran, Iran
Univ Tehran Med Sci, Rheumatol Res Ctr, Rheumatol & Internal Med, Tehran, IranShahid Beheshti Univ Med Sci, Pharmaceut Sci Res Ctr, Tehran, Iran