Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-19T07:20:55.225Z Has data issue: false hasContentIssue false

Negative ANCA in Wegener's granulomatosis

Published online by Cambridge University Press:  29 June 2007

S. Carrie*
Affiliation:
Department of Otolaryngology, Doncaster Royal Infirmary, Doncaster.
K. B. Hughes
Affiliation:
Department of Otolaryngology, Doncaster Royal Infirmary, Doncaster.
M. G. Watson
Affiliation:
Department of Otolaryngology, Doncaster Royal Infirmary, Doncaster.
*
Mr Sean Carrie, Department of Otolaryngology, Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT. Fax: (0302) 761205.

Abstract

Wegener's granulomatosis is a systemic vasculitis characterized by necrotizing granulomata and without treatment is associated with a poor prognosis. Antineutrophil cytoplasmic antibodies (ANCA) have proved to be a useful serological marker allowing for early diagnosis and treatment of this condition. We report two cases of patients who were ANCA-negative on presentation despite clinical suspicion of Wegener's granulomatosis. In both cases the patients developed a positive ANCA titre as the disease progressed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Davies, D. J., Moran, J. E., Niall, J. F., Ryan, G. B. (1982) Segmental necrotizing, glomerulonephritis with antineutrophilic antibody: possible arbovirus aetiology? British Medical Journal 2: 606.CrossRefGoogle Scholar
Fauci, A. S., Wolff, S. M. (1973) Wegener's granulomatosis: studies in 18 patients and a review of the literature. Medicine 52: 535561.CrossRefGoogle Scholar
Gross, W. L., Schmitt, W. H., Csernok, E. (1991) Antineutrophil cytoplasmic antibody-associated diseases: a rheumatologist's perspective. American Journal of Kidney Diseases 18: 175179.CrossRefGoogle Scholar
Hall, J. B., Wadham, B. M., Wood, C. J., Ashton, V., Adam, W. R. (1984) Vasculitis and glomerulonephritis: a subgroup with an antineutrophil cytoplasmic antibody. Australian and New Zealand Journal of Medicine 14: 277278.CrossRefGoogle ScholarPubMed
Macias, J. D., Wackym, P. A., McCabe, B. F. (1993) Early diagnosis of otological Wegener's granulomatosis using serological marker c-ANCA. Annals of Otology Rhinology and Laryngology 102: 337341.CrossRefGoogle ScholarPubMed
Mains, B. (1989) Wegener's granulomatosis: false positive antineutrophilic cytoplasmic antibody test. Journal of Laryngology and Otology 103: 524525.CrossRefGoogle ScholarPubMed
McCluskey, R. T., Fienberg, R. (1983) Vasculitis in primary vasculitides, granulomatoses and connective tissue diseases. Human Pathology 14: 305313.CrossRefGoogle ScholarPubMed
Nolle, B., Specks, U., Ludemann, J. (1989) Anticytoplasmic autoantibodies: their immunodiagnostic value in Wegener's granulomatosis. Annals of Internal Medicine 111: 2840.CrossRefGoogle Scholar
Tervaert, J. W. C., Van der Woude, F. J., Fauci, A. S., Ambrus, J. L., Velosa, J., Keane, W. E., Meijer, S., Van der Giessen, M., The, T. H., Van der Hem, G. K., Kallenberg, C. G. M. (1989) Association between Wegener's granulomatosis and anticytoplasmic autoantibodies. Archives of Internal Medicine 149: 24612465.CrossRefGoogle Scholar
Van der Woude, F. J., Arisz, L., Meijer, S., Donker, A. J. M., Hoedemaeker, P. H. J., Van Overbeek, J. J. M. (1978) Wegener's granulomatosis: a clinicopathological study in twelve patients. Netherlands Journal of Medicine 21: 205220.Google ScholarPubMed
Van der Woude, F. J., Rasmussen, N., Lobatto, S., Wikk, A., Permin, H., Van Es, L. A., Van der Giessen, M., Van der Hem, G. K., The, T. H. (1985) Autoantibodies to neutrophils and monocytes: a new tool for diagnosis and a marker of disease activity in Wegener's granulomatosis. Lancet 1: 425429.CrossRefGoogle Scholar
Wegener, F. (1939) Uber eine eigenartige rhinogene Granulomatose mit besonderer Beteiligung des Arteriensystems und der Nieren. Beitrage zur Pathalogischen Anatomie und zur Allgemeinen Pathologie 102: 3668.Google Scholar