Facial palsy and Wegener's granulomatosis.
Facial palsy can occur as a result of various pathological processes, which are not always amenable to early diagnosis. This article is a case presentation of a patient with facial palsy, after an acute otitis media manifestation, as a first symptom of Wegener's granulomatosis. The clues leading to diagnosis consist of the practitioner's clinical suspicion of the disease, the use of the appropriate serological measurements (c-antineutrophil cytoplasmic autoantibody), and the histological confirmation. The early initiation of treatment leads to high rates of remission of an otherwise lethal disease.
Drinias
Vassilis
V
Ear, Nose, and Throat Department, Ryhov Hopsital, Jönköping, Sweden. billsof@otenet.gr
Florentzson
Rut
R
D000208:Acute Disease; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood; D004359:Drug Therapy, Combination; D005158:Facial Paralysis / Q000209:etiology*; D005938:Glucocorticoids / Q000627:therapeutic use; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006314:Hearing Loss, Conductive / Q000209:etiology; D006320:Hearing Tests; D006801:Humans; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000209:etiology*; D010034:Otitis Media with Effusion / Q000382:microbiology; D011241:Prednisone / Q000627:therapeutic use
D019268:Antibodies, Antineutrophil Cytoplasmic; D005938:Glucocorticoids; D011241:Prednisone