Document Type : Case Report

Authors

• Ali Dehghan ¹
• Hamidreza Soltani ²
• Abdolrahim Sadeghi ³
• Ali Mellat Ardekani ⁴
• Mohammad Samet ⁵
• Hamidreza Bashiri ²

¹ Division of Rheumatology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

² Rheumatology Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

³ Division of Radiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

⁴ Neurology Department, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

⁵ Internal Medicine Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Peripheral neuropathy, often shortened to neuropathy, is a general term describing disease affecting the peripheral nerves, meaning nerves beyond the brain and spinal cord.1 neuropathy affecting motor, sensory, or autonomic nerves result in different symptoms. More than one type of nerve may be affected simultaneously. Peripheral neuropathy may be or chronic, and may be reversible or permanent. A 38-years-old man without any previous medical history was admitted to Shahid Sadoughi Hospital in Yazd on February 7, 2021 due to shortness of breath, cough, hemoptysis and reduced force of all four limbs. EMG-NCV was performed after paraclinical examinations and Guillain–Barré syndrome was considered as first diagnosis. Due to patient sinusitis and bilateral alveolar opacities vasculitis was examined and C ANCA was positive twice with high level. Thus, according to the results obtained in the vasculitis patient, Wegener's granulomatosis was probably proposed as a possible diagnosis and further measures were taken.

Concurrent Progressive limb weakness, known as Guillain-Barré syndrome, is a rare finding in Wegener's disease that has been confirmed and treated in the present patient.

Keywords

• Guillain-Barré
• syndrom , Wegener&rsquo
• s disease

Main Subjects

• Rheumatology