Wegener's granulomatosas (WG) is described as a systemic vasculitis involving small and medium vessels. It may have insidious onset and subsequent evolution to lung-kidneysyndrome. CASE REPORT A malepatient, 18 year old with reduced general condition and severe dyspnea, which progressed to respiratory failure, hemodynamic instability and acute uremic syndrome. The syndromic diagnosis guided the diagnostic investigation, and according to the criteria of the American College of Rheumatology established the diagnosis of WG.
CONCLUSION:
It was established clinical treatment with immunosuppressive drugs and antibiotics, but without improvement in symptoms, the patient died.