RT Journal Article
SR Electronic
T1 A diagnostic dilemma: differentiating between granulomatosis with polyangiitis and tuberculosis
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 411
OP 413
DO 10.7861/clinmedicine.13-4-411
VO 13
IS 4
A1 Farrouq S Mahmood
A1 Edward Schwatz
A1 Shinoy Kurrup
A1 Charles Sharp
A1 Georgina Hands
A1 Alison Moody
YR 2013
UL http://www.rcpjournals.org/content/13/4/411.abstract
AB Granulomatosis with polyangiitis (GPA, formerly Wegener's granulomatosis) can present diagnostic difficulties for the clinician as there can be considerable overlap in features with tuberculosis (TB). Indeed, there are documented cases both of coexisting TB and GPA, and cases wrongly diagnosed as GPA when in fact TB was the underlying diagnosis. This lesson presents a case of GPA where TB was also considered as a differential and highlights the diagnostic and management difficulties when this is the case.