Wegener's granulomatosis: a review of 5 cases

Wegener granulomatosis is a systemic disease with a wide spectrum of clinical manifestations. This is illustrated by 5 case reports. The diagnostic value of clinical, radiological, histological and serological signs are discussed and compared with the literature. Diagnosis has been facilitated by the introduction of serological tests: (anti-cytoplasmic antibody (ACPA) titer). High remission rates can be obtained with combined cyclophosphamide and prednisolone treatment. In case of a rapidly progressive glomerulonephritis, plasmapheresis presents a possible therapeutic advantage.