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A Pathognomonic Mucocutaneous Finding in Wegener Granulomatosis

J. Matthew Knight, BA; Michael J. Hayduk, DDS, MSD; Don-John Summerlin, DMD; Ginat W. Mirowski, DMD, MD

Arch Dermatol. 2000;136:171-173.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 21-year-old previously healthy man presented to his internist with weight loss, sinus congestion, and ear pain. He did not respond to 2 courses of antibiotics that were prescribed for a presumed sinus infection and right-sided otitis media. One month later, he developed an oral abscess, resulting in the extraction of a maxillary molar. In the postoperative period, he noted that his "gums were growing." He soon developed a fever and multiple pustules on his forehead, chest, back, and shoulders.

The patient was admitted to the hospital for workup of suspected bacterial endocarditis, recalcitrant sinusitis, and gingivitis of undetermined origin. A complete blood cell count revealed a white blood cell count of 11.5 x 10⁹/L, and urinalysis showed 10 to 20 red blood cells. A basic metabolic profile and thyroid function tests . . . [Full Text of this Article]

DIAGNOSTIC CHALLENGE

COMMENT

Indiana University School of Medicine (Mr Knight and Dr Mirowski) and Indiana University School of Dentistry (Drs Hayduk, Summerlin, and Mirowski), Indianapolis