Treatment of Wegener's granulomatosis

Rheum Dis Clin North Am. 2001 Nov;27(4):863-86, viii. doi: 10.1016/s0889-857x(05)70240-4.


The two principal aims in the treatment of Wegener's granulomatosis (WG) are to limit the extent and severity of permanent organ damage by controlling the disease promptly and to minimize the short- and long-term morbidity that often results from therapy. Remission is considered to be the absence of disease activity in any organ system. Once the disease has been controlled by the initial treatment regimen, which is dictated by the degree of disease severity, the focus of therapy shifts to maintaining disease remission, often with medications less toxic than those used to induce remission. The description of WG treatments in terms analogous to cancer chemotherapy (i.e., those designed to induce remissions and those intended to maintain them) is useful in the formulation of current disease management strategies and in the investigation of new therapies for WG.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Azathioprine / therapeutic use
  • Cyclophosphamide / therapeutic use
  • Granulomatosis with Polyangiitis / complications
  • Granulomatosis with Polyangiitis / drug therapy*
  • Granulomatosis with Polyangiitis / therapy
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Methotrexate / therapeutic use
  • Remission Induction
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use


  • Adrenal Cortex Hormones
  • Immunosuppressive Agents
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Cyclophosphamide
  • Azathioprine
  • Methotrexate