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Journal of Medical Case Reports, Sep 2023 Granulomatosis with polyangiitis (GPA) is a rare small vessel vasculitis predominantly affecting upper and lower respiratory tract and kidneys. Unilateral diaphragmatic palsy could be a rare manifestation of GPA. Here we report a case of GPA in a 45-year-old male with unilateral diaphragmatic palsy with pleuropericarditis.
References Pamuk ON, Doğutan H, Pamuk GE, Cakir N. Unilateral phrenic nerve paralysis in a patient with Wegener’s granulomatosis. Rheumatol Int. 2003;23(4):201–3. Article PubMed Google Scholar Feiz H, Oberstein EM, Lyubynska N, Kulkarni S, Banu F. Phrenic nerve paralysis as the initial presentation of granulomatosis with polyangiitis. Autoimmune Dis Ther Approaches. 2015 Ahmed T, Meredith D, Klein AL.
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