Esophageal involvement in Wegener’s granulomatosis: DISCUSSION

Systemic vasculitis is generally believed to be an immune complex deposition in blood vessels. Gastrointestinal com­plications of vasculitis have been described as pain, diarrhea, rectal bleeding and abnormal liver enzymes. Taken in isolation, the symptoms are difficult to distinguish from in­flammatory bowel disease, infectious colitis or ischemic coli­tis, although gastrointestinal vasculitis rarely presents without other…

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Esophageal involvement in Wegener’s granulomatosis: part 2

Figure 2) Photomicrograph of an esophageal

Initial laboratory studies revealed a white blood cell count of 10.7×109/L (4.4 to 11.0×109/L), hemoglobin level of 111 g/L (normocytic, normochromic) and platelet level of 599×109/L. Electrolytes and liver enzyme levels were normal and her creatinine level was 98 pmol/L. The erythrocyte sedimentation rate was 125 mm/h. Urinalysis showed many red blood cells with no…

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Esophageal involvement in Wegener’s granulomatosis

Esophageal involvement in Wegener’s granulomatosis: A case report and review of the literature Wegener’s granulomatosis is characterized by agranulo- matous arteritis involving the upper and lower respi­ratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestinal tract is uncommon. A patient whose initial presentation…

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Unilateral Diaphragmatic Paralysis Secondary to Carbon Monoxide Poisoning: DISCUSSION

Carbon monoxide is a tasteless, odorless gas which is produced by incomplete combustion of organic compounds. Ten thousand Americans seek medical attention or lose at least one day of normal activity each year because of carbon monoxide intoxication. Inhaled carbon monoxide is ab­sorbed rapidly through the lungs, producing tissue hypoxia by competing with oxygen for…

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Unilateral Diaphragmatic Paralysis Secondary to Carbon Monoxide Poisoning

Carbon monoxide poisoning accounts for 3,500 deaths per year in the United States, nearly half of the deaths from all poisonings. Nonlethal complications include pul­monary edema, central nervous system dysfunction with psychomotor difficulties, and neuropathy. Peripheral neurop­athy has been described but is almost exclusively confined to the lower extremities. We report a case of transient…

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