Wegener's Granulomatosis in the Elderly

HY Wong, HY Lee, WS Pang, PL Lieu
Correspondence: Dr H Y Lee

ABSTRACT
Wegener's granulomatosis classically involves the upper respiratory tract, lungs and kidneys. Rarely, it also affects the skin and heart. Cardiac involvement is uncommon in Wegener's granulomatosis and myocardial infarction is seldom highlighted. It can be a difficult diagnosis to make in the elderly who often have multiple co-existing illnesses. We present a case of a 75-year-old Chinese woman with interesting cardiac and dermatological manifestations of Wegener's granulomatosis.

Keywords: pustules, aged, cutaneous, vasculitis
Singapore Med J 2000; 41(2): 64-65