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© 1992 British Society for Rheumatology

case-report

JUVENILE CHRONIC ARTHRITIS AND WEGENER'S GRANULOMATO SIS

L. R. WEDDERBURN, J. T. C. KWAN*, P. W. THOMPSON and S. R. RUDGE

*Departments of Rheumatology The Royal London Hospital Whitechapel, London, E1 1BB
Departments of RheumatologThe Royal London Hospital Whitechapel, London, E1 1BB

Correspondence to: Correspondence to Dr S. R. Rudge

We present a case of Wegener's granulomatosis in a teenage boy with systemic onset juvenile chronic arthritis. We discuss the implication of these two uncommon conditions coexisting in one patient. The recent characterization of the antineu trophil cytoplasmic antibody (ANCA) as a marker of small vessel vasculitis has helped in the differential diagnosis of pul monary renal syndromes.

KEY WORDS: ANCA, 1gM ANCA, Systemic vasculitis.


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