[Otomastoiditis as an initial clinical manifestation of Wegener's granulomatosis]. / Otomastoiditis como manifestacion clinica de granulomatosis de Wegener.
Medicina (B Aires)
; 71(1): 42-4, 2011.
Article
em Es
| MEDLINE
| ID: mdl-21296720
Wegener's granulomatosis (WG) forms part of a group of primary vasculitis of the small and medium-sized blood vessels, associated with antineutrophil cytoplasmic antibodies (ANCA). This disease may affect any body organ, especially the upper and lower airways and the kidneys. Hardly ever is otomastoiditis the first and only clinical manifestation of generalized Wegener's granulomatosis. We present the case of a patient whose disease started with the inflammation of the middle ear, which was unresponsive to the usual treatment. Later he developed nasal, pulmonary and renal compromise. The determination of ANCA and a transbronchial biopsy confirmed the diagnosis of WG. We report this case to express the view that otomastoiditis in adults, which is refractory to the usual treatment, may seldom be the first and only clinical manifestation of WG.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Granulomatose com Poliangiite
/
Mastoidite
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Medicina (B Aires)
Ano de publicação:
2011
Tipo de documento:
Article
País de publicação:
Argentina