A male patient with cavitary pulmonary disease [Varón con enfermedad cavitaria pulmonar]
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Granulomatosis with polyangiitis (Wegener) (GPA) was diagnosed in a 44 year-old-man who had a relapse 6 years after diagnosis with the air crescent sign on chest CT. Seven years after his diagnosis the patient presented a new relapse with cavitary lung disease, and high levels of anti-proteinase 3 antibodies, suggesting disease activity; however, a transbronchial biopsy showed histological findings of tuberculosis (TB). The association between TB and GPA is rarely informed; moreover TB and GPA have similar findings including both clinical and anti-proteinase 3 antibodies. © 2011 Elsevier España, S.L.
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Granulomatosis with polyangiitis; Pulmonary tuberculosis; Tuberculosis; Wegener granulomatosis myeloblastin; adult; article; case report; computer assisted tomography; disease activity; histopathology; human; human tissue; male; microscopic polyangiitis; relapse; transbronchial biopsy; tuberculosis; Wegener granulomatosis; Adult; Diagnosis, Differential; Humans; Male; Recurrence; Tuberculosis, Pulmonary; Wegener Granulomatosis
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