Granulomatosis de Wegener con afección del colon. Presentación de un caso y revisión de la literatura

INTRODUCTION: Wegener's granulomatosis is not very common and it is associated with colonic affection is extremely rare. It was first described by Klinger, and by Wegener in 1936. It is a systemic clinico-pathologic entity to be mediated by immune mechanisms. The most common clinical manifestations are of respiratory, renal, and vascular origins. Diagnosis is histologic. OBJECTIVE: Presentation of a clinical case and literature revision. MATERIAL AND METHODS: The patient was a 46 year old male who vegan 3 years previously with symmetrical arthralgia in ankles and knees, cough, purulent expectoration, intermittend fever, occasional moderated hematoquezia, profuse diarrhea, and abdominal pain. The patient was subjected to laboratory and cabinet studies, by means of which it was established a diagnosis secondary colitis colonic mucosa. Definitive histopathologic study confirmed diagnosis of colonic Wegener's granulomatosis.