Chronic otitis media and facial paralysis as a presenting feature of Wegener's granulomatosis.
Upper airway disease, especially nasal and paranasal sinus involvement, is the most common manifestation of Wegener's granulomatosis. Chronic otitis media and facial palsy are rare but well known presenting features of Wegener's granulomatosis. We report a 40-year-old woman who presented with complaints of ear discharge, deep-seated ear pain and loss of hearing in her right ear. Early diagnosis demands heightened suspicion in a patient with otological symptoms and facial paralysis.
Shiva Prasad
B N
BN
Department of Internal Medicine, Kasturba Medical College, Manipal 576104, India. drshivaravi@yahoo.co.in
Balasubramanian
R
R
D000284:Administration, Oral; D000328:Adult; D001706:Biopsy; D002908:Chronic Disease; D003520:Cyclophosphamide / Q000627:therapeutic use / Q000633:toxicity; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005158:Facial Paralysis / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use / Q000633:toxicity; D009297:Nasal Mucosa / Q000473:pathology; D009503:Neutropenia / Q000139:chemically induced; D010034:Otitis Media with Effusion / Q000209:etiology* / Q000473:pathology; D010951:Plasma Exchange; D011239:Prednisolone / Q000627:therapeutic use / Q000633:toxicity; D006435:Renal Dialysis
D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D011239:Prednisolone