Wegener's granulomatosis presenting as oral lesions: A case report |
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Affiliation: | 1. Department of Hospital Dentistry and Endodontics. University of Iowa College of Dentistry, Iowa City, Iowa, USA;2. Department of Oral and Maxillofacial Surgery. University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA;3. Department of Oral and Maxillofacial Pathology. University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA;4. Department of Oral and Maxillofacial Pathology. University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA;5. Department of Oral and Maxillofacial Pathology. University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA;1. Preventive Medicine Department, Alcorcon University Hospital Foundation, Madrid, Spain;2. Preventive Medicine and Public Health and Medical Immunology and Microbiology Department, King Juan Carlos University, Madrid, Spain;3. Paediatric Department, Alcorcón University Hospital Foundation, Madrid, Spain;4. Epidemiology Unit, Regional Ministry of Health, Community of Madrid, Madrid, Spain;1. Carman and Ann Adams Department of Pediatrics, Division of Infectious Diseases, Wayne State University School of Medicine, Detroit, MI 48201, USA;2. Division of Hematology/Oncology, Wayne State University School of Medicine, Detroit, MI 48201, USA;1. Department of Head and Neck Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India;2. Department of Surgery, University of Sydney, Sydney, Australia |
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Abstract: | Wegener's granulomatosis will classically present as a triad of respiratory, kidney, and vascular involvement. The disease may run a course of rapidly progressive or mild and indolent and escape diagnosis for some time. The clinician must be aware of the possibility of Wegener's granulomatosis presenting initially with intraoral lesions. Prompt biopsies and blood studies along with the proper referrals will give the patient their best chance at a remission with the least systemic damage. We present a case of Wegener's granulomatosis that presented with oral lesions before other signs and symptoms. |
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