RT Journal Article
SR Electronic
T1 A limited form of granulomatosis with polyangiitis in an ulcerative colitis patient receiving sulfasalazine
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 105
OP 107
DO 10.15537/smj.2022.43.1.20210914
VO 43
IS 1
A1 Fahdah Alokaily
A1 Reem AlKathiri
A1 Sarah AlKathiri
A1 Seham Alrashidi
YR 2022
UL http://smj.org.sa/content/43/1/105.abstract
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.