A Young Girl With Granulomatosis with Polyangiitis: A Rare Case Report

Authors

  • Md Mahfuzer Rahman Professor, Department of Medicine, Rangpur Medical College, Rangpur, Bangladesh
  • Rana Shankor Roy Assistant Registrar, Department of Medicine, Rangpur Medical College, Rangpur, Bangladesh
  • Md Golam Rabbani Assistant Professor, Department of Medicine, Rangpur Medical College, Rangpur, Bangladesh
  • Akter Banu Assistant Professor, Department of Paediatrics, Rangpur Medical College, Rangpur, Bangladesh
  • Md Jahangir Kabir Assistant Professor, Department of Medicine, Rangpur Medical College, Rangpur, Bangladesh
  • Md Abul Kalam Azad Assistant Professor, Department of Medicine, Rangpur Medical College, Rangpur, Bangladesh
  • Mohsina Akter Resident, Department of Internal Medicine, Rangpur Medical College, Rangpur, Bangladesh
  • Yeasir Arafat Indoor Medial Officer, Department of Medicine, Rangpur Medical College & Hospital , Rangpur, Bangladesh

DOI:

https://doi.org/10.3329/bjm.v34i2.65619

Keywords:

Granulomatosis with polyangiitis (GPA), Wegener's Granulomatosis, necrotizing vasculitides

Abstract

Granulomatosis with polyangiitis (GPA), formerly known as Wegener's granulomatosis is a necrotizing vasculitides that primarily affects small-sized arteries and manifests differently depending on the organ involved and the severity of the disease. Here we are reporting a case of a 15-year-old girl presented with purulent nasal discharge with epistaxis, cough, reduced hearing, fever & rash. Tissue biopsy report, positive C-ANCA, imaging and clinical features were consistent with the diagnosis of GPA. After counseling the patient & her parents and taking consent, she has been treated with intravenous methylprednisolone and cyclophosphamide. Despite being a rare disease with a typical age of onset around 40 years, it should be suspected in any aged patient exhibiting constitutional symptoms and other evidence of upper or lower respiratory tract involvement or glomerulonephritis.

Bangladesh J Medicine 2023; 34(2): 151-154

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Author Biography

Md Mahfuzer Rahman, Professor, Department of Medicine, Rangpur Medical College, Rangpur, Bangladesh

 

 

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Published

2023-04-30

How to Cite

Rahman, M. M. ., Roy, R. S. ., Rabbani, M. G. ., Banu, A. ., Kabir, M. J. ., Azad, M. A. K. ., Akter, M. ., & Arafat, Y. . (2023). A Young Girl With Granulomatosis with Polyangiitis: A Rare Case Report. Bangladesh Journal of Medicine, 34(2), 151–154. https://doi.org/10.3329/bjm.v34i2.65619

Issue

Section

Case Reports