Look granulomatosis with polyangiitis (GPA) straight in the face: missed opportunities leading to a delayed diagnosis

N Rolle; M Muruganandam; I Jan; F M Harji; J Harrington; K N Konstantinov

doi:10.1186/s13317-019-0118-4

Look granulomatosis with polyangiitis (GPA) straight in the face: missed opportunities leading to a delayed diagnosis

Auto Immun Highlights. 2019 Sep 17;10(1):8. doi: 10.1186/s13317-019-0118-4. eCollection 2019 Dec.

Authors

N Rolle¹, M Muruganandam¹, I Jan², F M Harji², J Harrington^{1

2}, K N Konstantinov^{1

2}

Affiliations

¹ 1Department of Medicine, Division of Rheumatology, University of New Mexico School of Medicine, Albuquerque, NM 87131 USA.
² Section of Rheumatology, Raymond G. Murphy Veterans Affairs Medical Center, 1501 San Pedro SE, Albuquerque, NM 87108 USA.

Abstract

Granulomatosis with polyangiitis (GPA) is a systemic vasculitis with a potential to involve any organ system. It remains an important cause of kidney related morbidity and mortality. Early diagnosis can be difficult and requires high index of suspicion in all patients, but especially in cases with atypical presentation. We report a case with GPA, which was diagnosed only after new and advancing symptoms belied the original diagnosis of bilateral facial palsy and aortic mural thrombus.

Keywords: Aortic mural thrombus; Bilateral facial palsy; Granulomatosis with polyangiitis (GPA).

Publication types

Case Reports