[Subglottic stenosis: unrecognized type of presentation of Wegener's granulomatosis].
Most patients with Wegener's granulomatosis initially present with upper airway symptoms, persistent rhinosinusitis or otitis media. We report the case of a young female who presented with progressive dyspnea, inspiratory stridor and barking cough due to a subglottic stenosis. We would like to stress this often unrecognized type of presentation. The differential diagnosis, the limitations of histopathological examinations, and the interest of looking for anticytoplasmic antibodies in the diagnosis of Wegener's granulomatosis, are briefly discussed.
Dudler
J
J
Clinique médicale, Hôpital cantonal, Fribourg.
Fellay
G
G
Regamey
C
C
D000293:Adolescent; D000995:Antitubercular Agents / Q000008:administration & dosage; D003520:Cyclophosphamide / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007829:Laryngostenosis / Q000209:etiology*; D011241:Prednisone / Q000008:administration & dosage; D014387:Tuberculosis, Laryngeal / Q000175:diagnosis
D000995:Antitubercular Agents; D003520:Cyclophosphamide; D011241:Prednisone
Sténose sous-glottique: mode de présentation méconnu de la granulomatose de Wegener.