[Misdiagnosis analysis of Wegener's granulomatosis in otorhinolaryngology].
OBJECTIVE
To investigate the early clinical features and development of Wegener's granulomatosis (WG), and to reduce the rate of misdiagnosis.


METHODS
Retrospective analysis of 32 WG patients who consulted in otorhinolaryngology department primarily was carried out.


RESULTS
Among 32 cases, twenty-seven had been misdiagnosised (84%). Most of the cases were misdiagnosised as inflammation of otorhinolaryngology.


CONCLUSIONS
Many cases of WG were consulted at otorhinolaryngology doctors primarily. Otolaryngological presentation may be as rhinitis, otitis media, facial palsy or laryngeal obstruction and so on. Patients with these presentations not responding to the standard treatment should be further investigated for a diagnosis of WG. Demanding history detailed, thinking highly of the status of lung and kidneys, analyzing the abnormal examinations overall are the key points to reduce the rate of misdiagnosis of WG.
Department of Otorhinolaryngology, the Second People's Hospital of Changzhou, the Affiliated Hospital of Nanjing Medical University, Changzhou, 213003, China. xiaof.ent@163.com
Feng
F
Xiao
Wei
W
Lü
Daofeng
D
Ni
Haian
H
Yu
D000328:Adult; D003951:Diagnostic Errors / Q000706:statistics & numerical data; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009668:Nose Diseases / Q000175:diagnosis*; D010033:Otitis Media / Q000175:diagnosis; D012189:Retrospective Studies; D014069:Tonsillitis / Q000175:diagnosis