Wegener's granulomatosis - causes, symptoms, treatment.
Wegener's granulomatosis is an autoimmunea disease characterized by inflammation of small arteries and veins. In most cases, arteries inflame the sinuses of the nose, lung and kidney tissue, but in addition, there are incomplete forms, in the event of which only one of these zones is affected. With extensive granulomatosis, both the lungs and both kidneys are almost always affected. In the event that only lungs or only the kidneys are affected, this disease is called an incomplete Wegener's granulomatosis.
Wegener's granulomatosis is most often found inpeople of young or middle age, practically not meeting at children. But, nevertheless, this disease can affect all age groups. The gender statistics of the defeat of this disease differ from one author to another.
Causes of the disease
The causes of such a disease asWegener's granulomatosis is not fully understood today. Many experts suggest that the cause of this disease can be a viral agent, because Wegener's granulomatosis quite often occurs after vaccinations, ARVI, antibiotic therapy or hypothermia. But, unfortunately, the microbial agent has not yet been isolated, so the disease is considered autoimmune.
Some patients confuse inguinalLymphogranulomatosis and Wegener's granulomatosis. It is necessary to understand that with the similarity of symptoms, these are two completely different diseases, because inguinal lymphogranulomatosis arises from a bacterial pathogen (chlamydia), while Wegener's granulomatosis is an autoimmune disease.
Symptoms and forms of the disease
Wegener's granulomatosis can begin unexpectedly, but can flare up and gradually. The first symptom of the disease you can consider subfebrile temperature, then the appetite decreases. After that, the temperature starts to rise, and the disease progresses.
The general symptoms of this disease include:
- weight loss;
- temperature increase;
- pain in the joints;
- Pain in the inflamed sinuses.
In addition, this disease can strikedifferent parts of the body, while giving completely different symptoms. For example, when external respiratory organs become affected, a runny nose appears with unpleasant purulent-bloody branches, the mucous membrane of the nose is necrotic, as well as the soft palate and tonsils.
The generalized form of the disease gives, throughseveral months a serious complication on the skin, in particular, bleeding, knotty, necrotic elements appear, and in some groups of patients and pericarditis, myocarditis or bronchitis.
Diagnosis of the disease
First of all, if there is a suspicion of granulomatosisWegener's patients must pass a general urine test for the presence of protein and erythrocytes in the urine. Further X-ray photographs of the sinuses of the nose and chest are made to see the pathological changes. In addition, the blood test is taken, in particular, determined by ESR and C-reactive protein. There is also a more complex, but more effective, analysis for the detection of antineurophilic cytoplasmic AT.
Treatment of the disease
Wegener's granulomatosis without proper treatment is quitecan lead a patient to death in two to three months. All treatment is mainly aimed at suppressing the body's immune system, as well as local inflammatory reactions. The most popular drugs are corticosteroids and cyclophosphamide. These drugs must be taken until the remission of the disease occurs, and then to prevent recurrence of lymphogranulomatosis, you can add to them also methotrexal, which must be taken a couple more years.</ p>>