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Case Report
 
Wegener's granulomatosis with very unusual presentation
Mansur Somaily1, Abdurhman S Al Arfaj2
1(SB-Med), Department of Medicine, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh.
2(FRCP(C)), Department of Medicine, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh.

doi:10.5348/ijcri-2012-12-237-CR-11

Address correspondence to:
Prof. Abdurhman Saud Al Arfaj
Professor and Consultant
Rheumatology division, Department of Medicine
College of Medicine, King Saud University, Riyadh
KSA
Phone: 00966 1 4671510
Email: asarfaj@ksu.edu.sa

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How to cite this article:
Somaily M, Arfaj ASA. Wegener's granulomatosis with very unusual presentation. International Journal of Case Reports and Images 2012;3(12):43–47.


Abstract
Introduction: Wegener's granulomatosis (WG) involves mainly upper and lower respiratory tract and the kidneys. Cardiac involvement is not common.
Case Report: This is a report of a 34-year-old, non-smoker male with very unusual presentation of (WG) namely a combination of large pericardial effusion, cardiac tamponade (without uremia) and conduction defects, all of which responded very well to immunosuppressive therapy without the need for surgical intervention.
Conclusion: Cardiac complication of WG may start early and early diagnosis and management improves the outcome and decrease, overall mortality.

Keywords: Wegener's granulomatosis, Cardiac involvement, Pericardial effusion, Cardiac tamponade


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Author Contributions
Mansur Somaily - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abdurhman S Al Arfaj - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Mansur Somaily et al. 2012; This article is distributed the terms of Creative Commons attribution 3.0 License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)