(WG; Granulomatosis with polyangiitis)
Wegeners granulomatosis (WG) is a rare disease that causes the walls of blood vessels to become inflamed, a condition called vasculitis. This limits blood flow to tissues and can affect any organ.
Damage to Kidney Due to Decreased Blood Flow
WG is a type of autoimmune disease. This means the body’s immune system attacks its own tissues. The cause is unknown.
WG does not appear to be passed from one generation to the next. It is more common in Caucasians, and in people of middle age.
Symptoms and their severity vary from one person to another. In most cases, ear, nose, and throat symptoms appear first. These symptoms do not respond to normal treatment and worsen over time.
WG can cause common cold- or flu-like symptoms such as:
- Achy joints and muscles
- Overall feeling of discomfort or fatigue
- Lack of appetite
- Weight loss
Common respiratory tract symptoms associated with WG may include:
- Hearing problems
- Ear pain
- Mid-facial pain
- Persistent nasal discharge, with crusts or sores that do not heal
- Recurrent nosebleeds
- Discharge from the ear
- Recurrent ear infection
- Ulcers in the mouth and nose
Areas of Sinus Pain
You will be asked about your symptoms and medical history. A physical exam will be done. The doctor may do tests to rule out other conditions, determine which organs are involved, or to confirm the diagnosis. Tests may include:
- Blood tests
- Urine tests
- Biopsy—removal of a sample of affected tissue
Images may be needed of your bodily structures. This can be done with:
The outlook is good with proper treatment, but without it, WG is fatal. WG is treated with medications. Some are used to induce remission, while others are used for maintenance when remission is achieved.
There are no current guidelines to prevent Wegeners granulomatosis.
National Institute of Allergy and Infectious Diseases (NIH)
The Arthritis Society
Public Health Agency of Canada
Granulomatosis with polyangiitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 21, 2015. Accessed June 13, 2016.
Granulomatosis with polyangiitis. National Institute of Allergy and Infectious Diseases website. Available at: http://www.niaid.nih.gov/topics/gpa/pages/default.aspx. Updated October 29, 2013. Accessed June 13, 2016.
Granulomatosis with polyangiitis (GPA/Wegener's). Vasculitis Foundation website. Available at: http://www.vasculitisfoundation.org/education/forms/granulomatosis-with-polyangiitis-gpa-wegeners. Accessed June 13, 2016.
Last reviewed June 2016 by Michael J. Fucci, DO, FACC
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.