Limited form of Wegener granulomatosis. Eye involvement as a major sign
R. E. Coutu, M. Klein, S. Lessell, E. Friedman and G. L. Snider
Bilateral uveitis was the initial manifestation of a limited form of
Wegener granulomatosis in a 47-year-old man. Diagnosis was established by
biopsy of a pulmonary nodule. Subsequently, evidence of lesions developed
in the patient's central and peripheral nervous systems, but renal lesions
were absent. Pulmonary lesions regressed on therapy with azathioprine and
prednisone. Blindness ultimately resulted from retinal phlebitis, vitreous
hemorrhages, and neovascular glaucoma.
