Document Type : Case Report

Authors

1 1Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Rheumatic Diseases Research Center, Mashhad University of Medical Sciences

3 Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Department of Radiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Wegener’s granulomatosis (WG) is a life-threatening and rare systemic vasculitis associated with anti-neutrophil cytoplasmic antibodies and granulomatous lesions. The disease is primarily associated with pulmonary and renal involvement. Diagnosing this disease is a challenging task because of the lack of specific histological findings and its numerous manifestations. Although WG may affect any organ, the lung is most frequently affected. Herein, we report a case of a granuloma mass in the soft tissue of the leg and chronic ulcer around the talus with fistula to the bone similar to chronic inflammatory osteomyelitis.

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