Wegener肉芽肿又称多发性肉芽肿,是一种原因未明的多系统性非特异性坏死性肉芽肿。临床上较为少见,以肾脏受累者报道更少,本院收治一例,现报告如下: 患者、男性、24岁、工人。因发热,全身关节肿痛、血尿、蛋白尿二个月,于1984年1月25日住院。患者曾于1981年12月突然发热、周身关节肿痛活动受限,左侧小腿出现皮疹,继而化脓破溃。三个月后又出现间断性鼻衄,经抗感染治疗好转。1982年5月又发热、关节肿痛、嗽咳、咯血疑肺结核,抗痨治疗后咯血停止。1983年11月又出现上述症状,同时发现血尿、蛋 Wegener granuloma, also known as multiple granuloma, is a nonspecific, nonspecific necrotizing granuloma. Clinically rare, reported less involvement of the kidneys, hospital admitted to a case, are as follows: Patients, men, 24 years old, workers. Due to fever, systemic joint swelling and pain, hematuria, proteinuria two months, January 25, 1984 hospitalization. Patients had a sudden fever in December 1981, the whole body joint swelling and pain limited activities, the left leg rash, and then purulent ulceration. Three months later there intermittent epistaxis, the improvement of anti-infective treatment. May 1982 fever, joint swelling and pain, cough cough, hemoptysis suspected pulmonary tuberculosis, anti-tuberculosis treatment of hemoptysis stopped. In 1983 November again the above symptoms, also found hematuria, eggs