Misleading clinical features in Wegener's granulomatosis. A case report.
Wegener's granulomatosis is a systemic vasculitis that may present with a variety of findings and be difficult to diagnose. We report a case of a patient who presented with serous otitis media and subsequently developed a suspected primary lung tumour. Thoracotomy and pulmonary mass excision were required to establish the diagnosis. Otological manifestations of Wegener's granulomatosis, differential diagnosis, pathological findings and c-ANCA test role are discussed.
Almadori
G
G
Institute of Otolaryngology, Catholic University of the Sacred Heart, Rome.
Trivelli
M
M
Scarano
E
E
Cadoni
G
G
D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000276:immunology / Q000473:pathology; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis; D008875:Middle Aged; D010034:Otitis Media with Effusion / Q000150:complications* / Q000473:pathology; D014057:Tomography, X-Ray Computed
D019268:Antibodies, Antineutrophil Cytoplasmic