A 40yr old male presenting with URTI, hemoptysis and has elevated cANCA value is most likely having
Churg strauss syndrome
Wegner's granulomatosis
Microscopic polyangitis
Good Pasteurs syndrome
Ans: b) Wegner's granulomatosis Wegner's granulomatosis is a necrotizing vasculitis characterized by:i) Acute necrotizing granuloma of URT/LRTii) Necrotizing vasculitis involving small to medium vesselsiii) Renal disease - focal necrotizing crescentic glomerulitiscANCA is positive in 95% of all patients with acute generalized disease. Arise in titre suggest relapse.cANCA typically found in Wegner's granulomatosispANCAMicroscopic polyangitisChurg strauss syndromeGood pasteur's syndromeIdiopathic crescentic glomerulonephritis
Blood Vessels