Case Report

Wegener Granulomatosis Revealed by Pleural Effusion

Table 1

Cases published with similar initial pleural effusion in Wegener’s granulomatosis.

Blundell et al. [1]McCann et al. [2]Toffart et al.

Clinical presentation64-year-old woman65-year-old man45-year-old man
FeverChest pain, dyspnoeaDorsal pain
Initial chest X-rayLeft pleural effusionLeft pleural effusionNon informative
Blood biologyWBC 13000/mm3WBC <12100/mm3WBC 12000/ mm3
No eosinophiliaNo eosinophilia
Fluid analysisUnsuccesfullExsudate: protein 53 g/LExsudate: protein 49.7 g/L
WBC count: 7.69/mm3WBC count: 35/mm3
  (i) 25% eosinophils (i) 85% lymphocytes
  (ii) 37% neutrophils (ii) 10% neutrophils
  (iii) 34% lymphocytes  (iii) 5% monocytes