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A case report from Saudi Arabia describes a man diagnosed with Granulomatosis with Polyangiitis (GPA) — a rare form of ANCA‑associated vasculitis. The study highlights challenges in diagnosis due to symptoms resembling chronic infections, such as persistent cough and respiratory complaints that misled clinicians until advanced imaging and specific tests confirmed GPA. The article emphasizes that rare autoimmune vasculitis should be considered in young patients with unexplained respiratory symptoms.



