“…All patients' sera had been submitted to our laboratory for routine ANCA testing. Sera from 41 patients with a diagnosis of WG, established in the referring hospitals on the basis of histopathological findings and/or classical clinical symptoms (21), were selected. These sera contained significant titers of ANCA, producing the characteristic C-ANCA in the standard ANCA immunofluorescence test (IFT); i.e., indirect immunofluorescence on ethanol-fixed, air-dried cytospins of normal donor leukocytes (10).…”
“…All patients' sera had been submitted to our laboratory for routine ANCA testing. Sera from 41 patients with a diagnosis of WG, established in the referring hospitals on the basis of histopathological findings and/or classical clinical symptoms (21), were selected. These sera contained significant titers of ANCA, producing the characteristic C-ANCA in the standard ANCA immunofluorescence test (IFT); i.e., indirect immunofluorescence on ethanol-fixed, air-dried cytospins of normal donor leukocytes (10).…”
“…Great effort was made to adopt names and definitions that are already widely accepted, especially those advocated in published articles concerning approaches to vasculitis nomenclature (see refs. [2][3][4][5][6][7][8].…”
“…McCluskey and Feinberg observed that independent areas of extravascular necrotizing granulomatous lesions account for much of the tissue destruction, especially in pulmonary disease [25]. Purely granulomatous disease (without classic vasculitis) has been proposed as an early and sometimes the only manifestation of WG [24,26].…”
The described histologic characteristics are highly suggestive of WG. These findings along with clinical or laboratory findings, allow the diagnosis of very limited ophthalmic WG in the absence of systemic involvement.
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