Abstract
Samples were taken from a 40 year old man who had a sore throat with signs of only localized ulceration in both the mesopharynx and hypopharynx. Pathological findings of the pharynx include necrotizing granulation tissue with giant cell and vasculitis with fibrinoid necrosis. ESR was elevated, positive CRP, increased serum fibrinogen, CHSO and increased IgA and IgG levels were found. The patient was only treated with corticosteroids, and is presently in complete remission. He was diagnosed as having an early stage of Wegener's granulomatosis, based on the pathological features, laboratory findings, and clinical course.
