Facial paralysis in Wegener's granulomatosis of the middle ear.
A case of Wegener's granulomatosis, which presented as chronic otitis media with facial nerve palsy, is described. Early diagnosis is vital if unnecessary surgical exploration is to be avoided. A false negative cANCA may delay the diagnosis, especially in cases of locoregional disease, and a policy of repeated titres should be adopted, if clinical suspicion is high.
Department of Otorhinolaryngology, University Hospital Lewisham, London, UK.
A
A
Bibas
C
C
Fahy
L
L
Sneddon
D
D
Bowdler
D019268:Antibodies, Antineutrophil Cytoplasmic / Q000276:immunology; D005158:Facial Paralysis / Q000209:etiology* / Q000276:immunology; D005188:False Negative Reactions; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000276:immunology; D006319:Hearing Loss, Sensorineural / Q000209:etiology / Q000276:immunology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D010033:Otitis Media / Q000209:etiology* / Q000276:immunology
D019268:Antibodies, Antineutrophil Cytoplasmic