A patient presents with respiratory symptoms i.e. cough, hemoptysis and glomerulonephritis. His C-ANCA levels in serum were found to be raised. The most likely diagnosis is –: (A) Goodpasteur’s syndrome, (B) Classic polyarteritisnodosa, (C) Wegener’s granulomatosis, (D) Kawasaki syndrome
Answer is C. Renal and pulmonary symptoms with positive c-ANCA suggest the diagnosis of wegner’sglomerulonepritis
Clinical syndrome of wegner granulomatosis may be very similar to classical PAN or microscopic polyangitis.