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Article
June 1956

CHOLESTEROL PNEUMONITIS AND WEGENER'S GRANULOMATOSIS

Author Affiliations

Honolulu

From Section on Medicine, Alsup Clinic (Dr. French), and Department of Pathology, Queen's Hospital (Dr. Civin).

AMA Arch Intern Med. 1956;97(6):798-802. doi:10.1001/archinte.1956.00250240150016
Abstract

GODMAN and Churg, in 1954, wrote a comprehensive article on Wegener's granulomatosis. About the time this appeared we were puzzling over an unusual case, the history of which is reported here.

A 42-year-old Hawaiian-Caucasian woman was admitted to the hospital for the second time on Oct. 18, 1954, with a chief complaint of intermittent pains in the costovertebral angles bilaterally, but more pronounced on the right, following a subtotal gastrectomy eight months previously. She also complained of nocturia and of diurinal frequency. A 37 lb. weight loss was noted during this time. Ankle edema and exertional dyspnea had been present intermittently.

The patient had had a "sinus" cough for many years. Two years preceding the present hospitalization, she had an attack of pneumonia. Six months later she was first hospitalized for a benign chronic gastric ulcer, which was resected. Subsequently, a gastroenterostomy was performed. Concurrently, she developed hepatitis. Postoperatively she

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