A Case of Wegener’s Granulomatosis with Facial Palsy Presenting as Intractable Otitis Media

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概要

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• Wegener’s granulomatosis is known to be a systemic necrotizing, granulomatous vasculitis that mainly affects the upper and lower respiratory tracts and the kidney. We report on a case of suspected Wegener’s granulomatosis with intractable otitis media and facial palsy. A forty-year-old woman suffered from intractable otitis media coexisting with facial palsy. C-ANCA was positive. A nasal biopsy was performed, but it did not show vasculitis. The patient was therefore treated with steroid hormones and immunosuppresants as a case of suspected Wegener’s granulomatosis. The combination therapy was effective, and her facial palsy resolved in four months, but her severe hearing loss remained. It is difficult to diagnose this disease with the current diagnostic criteria.

著者

• 梶川 泰

  岸和田市民病院耳鼻咽喉科

• 鎌倉 武史

  大阪大学大学院医学系研究科耳鼻咽喉科・頭頸部外科学

関連論文

• A Case of Wegener’s Granulomatosis with Facial Palsy Presenting as Intractable Otitis Media
• 難治性中耳炎で発症し顔面神経麻痺をきたした Wegener 肉芽腫症例

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