北京市和平里医院孔凡龙报道了一例老年人韦格内肉芽肿患者男,73岁。因鼻塞、黄涕,上颌窦痛、咽痛、耳痛,听力减退8月,皮肤紫癜、浮肿,双踝关节胀疼40天,发热两个月入院。检查:T38℃,R20/分,P90/分,BP110/70。轻度贫血貌,两面颊毛细血管扩张、双下肢皮肤散在分布对称性紫癜。双上颌窦压痛,咽后壁充血明显,双扁桃体I°红肿,颈软。双肺呼吸音粗,心(-)。腹平软,剑突下压痛,肝肋下8cm、脾肋下2.5cm,质中。双下肢轻度指凹性水肿,双踝关节压痛,活动受限。实验室检查:Hb8.8、WBC13500、N82％、Pc17万、出凝血时间正常、嗜酸细胞计数 Kong Fan Li, Beijing Peace Hospital, reported an elderly male Wegener granulomatosis, 73 years old. Due to nasal congestion, yellow tears, maxillary sinus pain, sore throat, earache, hearing loss in August, the skin purpura, edema, double ankle joint pain 40 days, fever two months admitted. Check: T38 ℃, R20 / min, P90 / min, BP110 / 70. Mild anemia appearance, both sides of the telangiectasia, double lower extremity skin scattered symmetry Purpura. Two maxillary sinus tenderness, posterior pharyngeal congestion was obvious, double tonsil I ° swelling, neck soft. Breath sounds coarse lungs, heart (-). Abdomen soft, under the xiphoid tenderness, liver ribs 8cm, spleen ribs 2.5cm, quality. Double lower extremity mildly concave edema, double ankle tenderness, limited mobility. Laboratory tests: Hb8.8, WBC13500, N82%, Pc17 million, a normal clotting time, eosinophil count