韦格纳肉芽肿病(Wegener’s granulomatosis,WG)是以毛细血管、微小动静脉受累为主的全身坏死性肉芽肿性血管炎[1]。典型的WG三联征包括上呼吸道、下呼吸道(肺)和肾脏病变,然而临床表现不典型者容易误诊。我院曾收治1例以多发性溃疡起病的WG患者,取得一些诊治经验,现报告如下。 Wegener’s granulomatosis (WG) is a systemic necrotizing granulomatous vasculitis mainly involving the capillaries and arterioles. [1] Typical WG triad symptoms include upper respiratory tract, lower respiratory tract (lung), and kidney disease. However, patients with atypical clinical manifestations are easily misdiagnosed. Our hospital admitted to a case of multiple ulcer onset of WG patients, made some diagnosis and treatment experience, are as follows.