1. Dr Prashant Chowbey, MD(Internal Medicine) Dr Mandeep Singh Saini, MD(Respiratory Diseases) A Case Report

17. Chest x-ray (PA)

20. CECT Thorax

22. X-ray PNS

23. Histopathology

27. A Discussion

37. Manifestation Percent at Disease Onset Percent Throughout Course of Disease Kidney Glomerulonephritis 18 77 Ear/Nose/Throat Sinusitis Nasal disease Otitis media Hearing loss Subglottic stenosis Ear pain Oral lesion 73 51 36 25 14 1 9 3 92 85 68 44 42 16 14 10 Lung Pulmonary infiltrates Pulmonary nodules Hemoptysis Pleuritis 45 25 24 12 10 85 66 58 30 28 Eyes Conjunctivitis Dacrocystitis Scleritis Proptosis Eye pain Visual loss Retinal lesions Corneal lesions Iritis 5 1 6 2 3 0 0 0 0 18 18 16 15 11 8 4 1 2 Others Arthralgia/arthritis Fever Cough Skin abnormalities Weight loss Peripheral neuropathy CNS disease Pericarditis Hyperthyroidism 32 23 19 13 15 1 1 2 1 67 50 46 46 35 15 8 6 3

42. Follow Up

43. Thank You