par Daguzan, Marie;Martinez-Mena, Corina 
;Hermans, Paul
Référence Revue médicale de Bruxelles, 33, 2, page (112-115)
Publication Publié, 2012-03
;Hermans, PaulRéférence Revue médicale de Bruxelles, 33, 2, page (112-115)
Publication Publié, 2012-03
Article révisé par les pairs
| Résumé : | We describe a case of a tumor-like lesion of the breast of a 45-year-old woman. The initial presentation is a persistent breast abscess after three courses of antibiotics. The association with multiple lung nodules suggests a presumed diagnosis of metastatic carcinoma. Fine needle biopsies of breast and pulmonary nodule reveal necrotic tissue without any evidence of malignancy. Systemic symptoms appear after three weeks of evolution : fever, spread cutaneous ulcers, livedo reticularis, arthralgias. The final diagnosis is made on both mastectomy sample analysis demonstrating necrotizing granulomatous vasculitis and presence of anti-neutrophil antibodies, thus defining Wegener granulomatosis, which initial involvement on the breast is very atypical. |
