NECROSING GRANULOMA OF LUNG - A CASE WITH PATHOLOGIC FEATURES SUGGESTING WEGENERS GRANULOMA

Abstract

A case is described of a young man who presented with mild and transitory respiratory symptoms and who was found to have bilateral pulmonary infiltrations. A biopsy revealed a picture similar to that seen in Wegener''s granulomatosis. No generalized manifestations have been identified, and the patient remains well 19 months after the onset of symptoms. Some of the lesions as seen roentgenographically have shrunk, and some have excavated to leave only a ghost outline visible. The possible relation of this case and of the disease known as malignant granuloma, or granuloma gangrescens, to Wegener''s granulomatosis is discussed.