title: Head and neck manifestations of Wegener's granulomatosis.
abstract: Sixteen of 17 patients with Wegener's granulomatosis were found to have head and neck involvement. Rhinitis and/or nasal obstruction were the most common presenting symptoms. On initial clinical examination, paranasal sinus involvement was observed in 11 patients, ear involvement in 7 and subglottic stenosis in 2 patients. One patient presented with a large and rapidly widening ulcer on the lateral pharyngeal wall. Diagnosis was often difficult and severe delay in diagnosis occurred in 7 patients. In recent years tests for ANCA appeared to be extremely useful.
authors.affiliation: Dept. of Otolaryngology, University Hospital of Kuopio, Finland.
authors.forename: E
authors.initials: E
authors.lastname: Vartiainen
authors.forename: J
authors.initials: J
authors.lastname: Nuutinen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000209:etiology; D010038:Otorhinolaryngologic Diseases / Q000209:etiology*; D012220:Rhinitis / Q000209:etiology