Wegener's granulomatosis: an unusual cause of upper airway obstruction.
A 10-year-old child with a 2-month history of tracheitis presented with acute stridor, for which he required tracheostomy. Granulation tissue was found in the subglottic region and he was treated with antibiotics and corticosteroids. A week after successful decannulation of his tracheostomy, his stridor recurred and, on endoscopy under general anaesthesia, circumferential granulomas extending into both main bronchi were found. A diagnosis of Wegener's granulomatosis was made and confirmed on histology.
Manchester Royal Infirmary, UK.
J
J
Passey
R
R
Walker
D000402:Airway Obstruction / Q000209:etiology*; D000768:Anesthesia, General / Q000379:methods; D002648:Child; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D008297:Male; D012008:Recurrence; D012135:Respiratory Sounds / Q000209:etiology