Misdiagnosis of Granulomatosis with Polyangiitis: An Unknown Disease for Pakistan

S. Riaz, N. Haq, Q. Ijaz, M. S. Zarak, A. Nasim
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Abstract

This case represents the misdiagnosis of granulomatosis with polyangiitis (GPA) as pulmonary tuberculosis (TB). This describes the severe consequences of misdiagnosing GPA, which led to this patient acquiring ESRD and requiring dialysis. Greater awareness of granulomatosis with can prevent mistreatment, as inappropriate treatment of this disease with anti-TB drugs can lead to severe consequences. In conclusion, c-ANCA testing is recommended for all patients showing signs and symptoms of TB, who have positive chest X-ray results but a negative sputum test for acid-fast bacilli, to eliminate GPA, as this disease can be fatal for the patient if it remains undiagnosed.
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肉芽肿病合并多血管炎的误诊:巴基斯坦的一种未知疾病
本病例为肉芽肿合并多血管炎误诊为肺结核的病例。这描述了误诊GPA的严重后果,导致该患者获得ESRD并需要透析。提高对肉芽肿病的认识可防止不当治疗,因为用抗结核药物对这种疾病进行不当治疗可导致严重后果。总之,建议对所有出现结核症状和体征的患者进行c-ANCA检查,这些患者胸部x线检查结果呈阳性,但痰液抗酸杆菌检查呈阴性,以消除GPA,因为这种疾病如果未得到诊断,对患者可能是致命的。
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