Leak D, Clein G P
Thorax. 1967 Sep;22(5):437-43. doi: 10.1136/thx.22.5.437.
Two cases of acute Wegener's granulomatosis are described. The first ended fatally after an illness of only two weeks. In the second a remission of three years has been obtained with heavy doses of steroid. At present there is evidence of impaired pulmonary gas transfer and also chronic glomerulonephritis, but the patient is asymptomatic. When the disease presents with pulmonary cavitation it may be confused with pulmonary neoplasm, tuberculosis, or lung abscess, and the diagnosis is made by biopsy. The Rose-Waaler was strongly positive in the case tested.
本文描述了两例急性韦格纳肉芽肿病。第一例在患病仅两周后死亡。第二例通过大剂量类固醇治疗已缓解三年。目前有肺气体交换受损及慢性肾小球肾炎的证据，但患者无症状。当该病表现为肺空洞时，可能会与肺肿瘤、肺结核或肺脓肿相混淆，诊断需通过活检确定。检测的病例中罗斯 - 瓦勒试验呈强阳性。
