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Case Reports in Medicine
Volume 2015, Article ID 865108, 3 pages
http://dx.doi.org/10.1155/2015/865108
Case Report

Granulomatosis with Polyangiitis Presenting as a Parotid Gland Abscess

1Service of Rheumatology, Santa Isabel Hospital, Praça Almeida Couto 500, 40050-405 Salvador, BA, Brazil
2Specialized Services in Rheumatology of Bahia, Rua Conde Filho 117, Graça, 40150-150 Salvador, BA, Brazil
3Department of Internal Medicine, Bahiana School of Medicine and Public Health, Avenida Dom João VI 275, Brotas, 40290-000 Salvador, BA, Brazil

Received 8 October 2014; Accepted 28 January 2015

Academic Editor: Kenneth C. Kalunian

Copyright © 2015 Blenda Dias et al. 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

Granulomatosis with polyangiitis (GPA) is a small-vessel vasculitis consisting of necrotizing granulomatous lesions in airways and focal necrotizing glomerulonephritis. However, it may affect other sites such as the skin, central nervous system, eyes, heart, gastrointestinal tract, and liver. We describe a rare case of GPA in which the initial manifestation was the involvement of the parotid gland mimicking a pyogenic abscess.