[Subglottic stenosis in Wegener's granulomatosis].
OBJECTIVE
Describe the management of subglottic stenosis in a patient with Wegener's granulomatosis.


METHODS
Case report.


RESULTS
We report the case of a 26-year-old woman who presented Wegener granulomatosis and subglottic stenosis, with renal, skin, oropharyngeal, nasal, and paranasal locations. Medical treatment had cured all the locations except the subglottic stenosis. An endoscopic dilatation was performed. Two months later, the endoscopic treatment was repeated twice with intralesional corticosteroid injection. One year later, the patient was in complete functional remission.


CONCLUSIONS
Respiratory obstruction in Wegener granulomatosis can result from subglottic stenosis. In this case, intralesional corticosteroid injection seemed to be a good adjunct to local treatment with an effective long-term result.
Bakhos
D
D
Service d'ORL et chirurgie cervico-faciale, CHU Bretonneau, 2, boulevard Tonnellé, 37044 Tours, France. bakhos_d@med.univ-tours.fr
Lescanne
E
E
Diot
E
E
Beutter
P
P
Morinière
S
S
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001379:Azathioprine / Q000627:therapeutic use; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007828:Laryngoscopy / Q000379:methods; D007829:Laryngostenosis / Q000209:etiology*; D015508:Nasal Obstruction / Q000209:etiology; D011241:Prednisone / Q000627:therapeutic use; D011859:Radiography
D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents; D001379:Azathioprine; D011241:Prednisone