Spontaneous pneumothorax in Wegener's granulomatosis.

Abstract

Wegener's granulomatosis is a disease characterised by nec- rotising granulomatous angiitis of the upper and lower respiratory tracts, a necrotising glomerulonephritis, and a diffuse small vessel vasculitis that may affect almost any organ system.' Various pulmonary lesions have been described, but pneumothorax has seldom been mentioned. We report a patient who developed a spontaneous pneu- mothorax with a bronchopleural fistula and pyopneumo- thorax. So far as we are aware this complication has been recorded only once.2