Eosinophilic granuloma presenting as chronic otitis media: pitfalls in the diagnosis of aural polyps in children.
The case of a 7-year-old boy with multifocal eosinophilic granuloma, initially presumed to be chronic otitis media, is presented. A review of other similar cases in the literature reveals that a delay in diagnosis is not uncommon, and a high index of suspicion is necessary to avoid an unfavourable outcome. Early in the evaluation of an aural polyp, sufficient biopsies should be performed and computerized tomography scanning should be considered.
DeRowe
A
A
Department of Otolaryngology-Head and Neck Surgery, Meir General Hospital, Kfar-Saba, Israel.
Bernheim
J
J
Ophir
D
D
D001706:Biopsy; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004431:Ear, External / Q000648:ultrastructure; D004804:Eosinophils / Q000648:ultrastructure*; D006099:Granuloma / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D008297:Male; D010033:Otitis Media / Q000175:diagnosis*; D011127:Polyps / Q000175:diagnosis* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed