Localized Wegener's granulomatosis relapsing as diffuse massive intra- alveolar hemorrhage

M. Odeh, L. A. Best, H. Kerner, H. Bassan, A. Oliven

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


In a 75-year-old patient presenting with a solitary pulmonary mass, a localized form of Wegener's granulomatosis was diagnosed after lobectomy. In the absence of extrapulmonary manifestations and after a benign postoperative course, the patient was discharged without medical treatment. Three months later, diffuse alveolar hemorrhage developed abruptly, necessitating mechanical ventilation, and was followed by cardiac complications and a fatal outcome. This case and another previously reported strongly suggest the need for medical treatment in patients with a localized form of pulmonary Wegener's granulomatosis, even when complete remission after surgical resection of the lung lesion seems to have been achieved.

Original languageEnglish
Pages (from-to)955-956
Number of pages2
Issue number3
StatePublished - 1993
Externally publishedYes


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