Rau, Aarathi RKini, HemaPai, Radha RShetty, Ashok B2008-07-182009-05-272008-07-182009-05-272008-07-18Rau AR, Kini H, Pai RR, Shetty AB. Wegener's granulomatosis mimicking paraneoplastic syndrome. The Indian Journal of Chest Diseases & Allied Sciences. 2008 Jul-Sep; 50(3): 295-7http://imsear.searo.who.int/handle/123456789/29765Wegener's granulomatosis is a distinct clinico-pathological entity characterised by a triad of upper and lower respiratory disease and renal involvement, although atypical presentations can be seen. These patients characteristically have small vessel vasculitis and or granulomatous vasculitis and are usually anti-neutrophilic cytoplasmic antibody (ANCA) positive. We present a case of Wegener's granulomatosis that clinically mimicked a lung neoplasm with a paraneoplastic syndrome. Biopsy and histopathological evaluation of a readily accessible subcutaneous nodule showed small vessel vasculitis. Correlation with clinical data and ANCA positivity led to a definite diagnosis.engDiagnosis, DifferentialFemaleHumansLung Neoplasms --diagnosisMiddle AgedParaneoplastic Syndromes --diagnosisWegener Granulomatosis --diagnosisCase Reports