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Canadian Journal of Gastroenterology
Volume 14, Issue 5, Pages 449-451
http://dx.doi.org/10.1155/2000/423569
Brief Communication

Esophageal Involvement in Wegener’s Granulomatosis: A Case Report and Review of the Literature

Glen A Fallows, Sean F Hamilton, Douglas S Taylor, and S Bharati Reddy

St Clare’s Mercy Hospital, St John’s, Newfoundland, Canada

Received 25 September 1998; Revised 14 July 1999

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Wegener’s granulomatosis is characterized by a granulomatous arteritis involving the upper and lower respiratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestinal tract is uncommon. Cases have been reported of intestinal perforation, ulceration and hemorrhage. A patient whose initial presentation of Wegener’s granulomatosis was odynophagia secondary to esophageal vasculitis is described. Endoscopy revealed multiple punched out ulcerations in the esophagus, which resolved with standard therapy for systemic Wegener’s granulomatosis. There are only two previous reports of symptomatic esophageal vasculitis in patients with Wegener’s granulomatosis. These reports illustrate the need to consider odynophagia as a reflection of disease activity as opposed to complications of immunosuppressive therapy.