Limited forms of Wegener's granulomatosis presenting as polymyalgia rheumatica

The spectrum of Wegener's granulomatosis is broad, ranging from rapidly progressive disease to more indolent and limited forms. We report two cases with later onset disease who presented with polymyalgia rheumatica. Diagnosis of Wegener's was delayed but was ultimately aided by the demonstration of antineutrophil cytoplasmic antibodies.