PT  - JOURNAL ARTICLE
AU  - Alokaily, Fahdah
AU  - AlKathiri, Reem
AU  - AlKathiri, Sarah
AU  - Alrashidi, Seham
TI  - A limited form of granulomatosis with polyangiitis in an ulcerative colitis patient receiving sulfasalazine
AID  - 10.15537/smj.2022.43.1.20210914
DP  - 2022 Jan 01
TA  - Saudi Medical Journal
PG  - 105--107
VI  - 43
IP  - 1
4099  - http://smj.org.sa/content/43/1/105.short
4100  - http://smj.org.sa/content/43/1/105.full
SO  - Saudi Med J2022 Jan 01; 43
AB  - This is a case report of a 31-year-old lady who is known to have ulcerative colitis for 15 years and was on mesalazine. She presented with periorbital swelling, sinusitis, epistaxis, and was found to have positive anti-neutrophil cytoplasmic antibody and anti-proteinase-3 of a high titer. Biopsy from the maxillary sinus showed chronic non-specific inflammation and biopsy from the periorbital fat revealed inflammation and granulomatous changes. She had no other organ involvement. She was diagnosed with a limited form of granumatosis and polyangiitis and treated with methotrexate and prednisolone. The symptoms disappeared after treatment.