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A Sign of Wegener's Granulomatosis

Paul S. Cohen, MD; Jeffrey A. Meltzer, DMD

JAMA. 1981;246(22):2610-2611.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WEGENER'S granulomatosis is a systemic illness that encompasses necrotizing vasculitis and granulomatous infiltration of the upper and lower respiratory tract and significant renal involvement.

Medical journals¹ have reported gingival involvement in Wegener's granulomatosis, but this phenomenon has been described more extensively in the dental literature.^2-5 We report the case of a patient with Wegener's granulomatosis in whom distinctive diagnostic gingival changes were present from the beginning of his illness but were not recognized as physical findings indicative of Wegener's granulomatosis. Because these gingival lesions are not well described in the medical literature, we report the following case.

Report of a Case

A 57-year-old man was referred for evaluation of recent-onset hemoptysis and two days of fevers with shaking chills on Jan 21, 1980. Several months of progressive shortness of breath, a nonhealing lesion on his left arm, and polyarthralgias were also noted.

Four months before admission, a chest roentgenogram . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Medicine (Dr Cohen) and Dentistry (Dr Meltzer), State University Hospital at Upstate Medical Center, Syracuse, NY.

Footnotes
Reprint requests to 101 Union Ave, Suite 601, Syracuse, NY 13203 (Dr Cohen).

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