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Limited Wegener's granulomatosis--is it limited?
Svetlana Lisitsin1, Raymond Farah, Moshe Shay
1Department of Internal Medicine F, Western Galilee Hospital, P.O.B 21, Nahariya, 22100, Israel.
Abstract:
Complete heart block associated with Wegener's granulomatosis (WG) is rare especially in the limited form of the disease. We describe a case of a 43-year-old woman with a limited form of WG who developed a complete heart block. Prompt treatment with steroids and cyclophosphamide led to temporary regression of complete heart block. Further involvement of lung was treated successfully by tumor necrosis factor-alpha inhibitor infliximab. Cardiac rhythm abnormalities should always be kept in mind both in diagnosis and follow-up of WG.
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