Arthritis and rheumatism
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Arthritis and rheumatism · Nov 1997
Case ReportsMediastinal mass and hilar adenopathy: rare thoracic manifestations of Wegener's granulomatosis.
To assess the frequency and characteristics of hilar and mediastinal involvement in patients with Wegener's granulomatosis (WG). ⋯ In the past, hilar adenopathy and/or mediastinal mass have been considered unlikely features of WG, and their presence has prompted consideration of an alternative diagnosis. Although this caution remains valuable, the present retrospective review of data from 2 large WG registries illustrates that such findings may rarely be a part of the spectrum of WG chest disease. Because these findings are uncommon, they necessitate consideration of a primary or concurrent infection or malignancy in the diagnostic evaluation.