[Diagnosis, therapy and current research aspects of selected chronic inflammatory diseases with head and neck involvement].
Wegener's granulomatosis, Churg-Strauss syndrome and analgesics intolerance syndrome with polyps demonstrate non-specific manifestations in the head and neck region. These symptoms can often lead to early diagnosis and initiation of the correct therapy. However, symptoms are often ambiguous and many rare differential diagnoses must be borne in mind. This clinical picture presents a challenge for the otorhinolaryngologist, who is commonly the first contacted physician. Diagnostics and therapy have to be carried out in an interdisciplinary approach between rheumatologist, pulmonologist, pathologist, radiologist, ophthalmologist, infection specialist and nephrologist. Despite significant scientific and therapeutic advances, these diseases remain incurable. In recent decades they have lost their life-threatening character (Wegener's granulomatosis) and are now chronically relapsing diseases. Their aetiology, however, is still unclear and treatment leads to a wide spectrum of undesirable effects. Research work is needed to advance diagnostics and therapy in this field. Recent research aspects are presented in this article.
Laudien
M
M
Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie der Christian-Albrechts-Universität zu Kiel, Arnold-Heller-Strasse 14, 24103, Kiel, Deutschland. laudien@hno.uni-kiel.de
Ambrosch
P
P
Till
A
A
Podschun
R
R
Lamprecht
P
P
D002908:Chronic Disease; D015267:Churg-Strauss Syndrome / Q000175:diagnosis* / Q000628:therapy; D003299:Cooperative Behavior; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D007400:Interprofessional Relations; D007827:Laryngitis / Q000175:diagnosis / Q000628:therapy; D009298:Nasal Polyps / Q000175:diagnosis / Q000628:therapy; D010038:Otorhinolaryngologic Diseases / Q000175:diagnosis* / Q000628:therapy; D012017:Referral and Consultation; D012220:Rhinitis / Q000175:diagnosis / Q000628:therapy; D012852:Sinusitis / Q000175:diagnosis / Q000628:therapy
D007166:Immunosuppressive Agents