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Medicine

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Respiratory

Question
5 out of 7
 

A 54 year old smoker man comes with severe hemoptysis weight loss and oligoarthritis. Serial skiagram shows fleeting opacities. What is diagnosis? (AIIMS Nov 2013)



A Allergic bronchopulmonary aspergillosis

B Ca lung

C TB

D Wegener's granulomatosis

Ans. D

Wegener's granulomatosis

Difference between ABPA & Wegner’s Granulomatosis

ABPA

Wegner’s

Age of presentation

Most of the age range is 20-40 years

Mean age at diagnosis is 50 years

Fever, weight loss, hemoptysis

May be seen

May be seen

Oligoarthritis

Not associated

Pauciarticular (oligoarticular), or polyarticular arthritis may be seen

Fleeting opacities in CXR

May be seen

May be seen