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Look granulomatosis with polyangiitis (GPA) straight in the face: missed opportunities leading to a delayed diagnosis

Authors
  • Rolle, N.1
  • Muruganandam, M.1
  • Jan, I.2
  • Harji, F. M.2
  • Harrington, J.1, 2
  • Konstantinov, K. N.1, 2
  • 1 University of New Mexico School of Medicine, Department of Medicine, Division of Rheumatology, Albuquerque, NM, 87131, USA , Albuquerque (United States)
  • 2 Raymond G. Murphy Veterans Affairs Medical Center, Section of Rheumatology, 1501 San Pedro SE, Albuquerque, NM, 87108, USA , Albuquerque (United States)
Type
Published Article
Journal
Autoimmunity Highlights
Publisher
BioMed Central
Publication Date
Sep 17, 2019
Volume
10
Issue
1
Identifiers
DOI: 10.1186/s13317-019-0118-4
Source
Springer Nature
Keywords
License
Green

Abstract

Granulomatosis with polyangiitis (GPA) is a systemic vasculitis with a potential to involve any organ system. It remains an important cause of kidney related morbidity and mortality. Early diagnosis can be difficult and requires high index of suspicion in all patients, but especially in cases with atypical presentation. We report a case with GPA, which was diagnosed only after new and advancing symptoms belied the original diagnosis of bilateral facial palsy and aortic mural thrombus.

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