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Forme pseudo-pathomimique de granulomatose avec polyangéite (anciennement maladie de Wegener)

Abstract : Introduction ANCA vasculitis may involve the skin and develop slowly without specific histology, and without autoantibodies. Case report We report a 50-year-old woman who experienced bilateral mastectomy because of ulcero-necrotic, non-specific inflammatory cutaneous lesions of the breasts. First considered by others as a malinger patient, she developed oto-neurological lesions leading to the diagnosis of Wegener's granulomatosis. Five years later, specific antibodies of the disease were present. Conclusion Cutaneous involvement by ANCA vasculitis can be isolated for a long time. Physicians must have a high degree of suspicion to avoid diagnostic delay of ANCA vasculitis.
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Submitted on : Monday, February 19, 2018 - 9:54:56 AM
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N. Ene, P. Bélénotti, A. Benyamine, S. Sovaila, M.H. Ben Sahla Talet, et al.. Forme pseudo-pathomimique de granulomatose avec polyangéite (anciennement maladie de Wegener). La Revue de Médecine Interne, 2014, 35 (8), pp.540 - 542. ⟨10.1016/j.revmed.2013.06.008⟩. ⟨hal-01711959⟩



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