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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2005 March;55(1):59-62
Otologic Wegener’s granulomatosis with facial nerve paralysis: description of a clinical case
Artico R., Polidoro F.
U.O.A. di Otorinolaringologia ASL n. 15 «Alta Padovana» Cittadella-Camposampiero, Padova
Wegener’s granulomatosis is characterised by systemic necrotising vasculitis with involvement of the respiratory ways and glomerulonephritis. Otologic symptoms not dissimilar to those of much more common pathologies of the middle ear often represent the picture of onset of this pathology. We report a case of otologic Wegener’s granulomatosis with otitis media and paralysis of the facial nerve. The patient later showed signs of systemic involvement. The appearance of facial nerve paralysis in a picture of inflammation of the middle ear should induce the suspicion and lead to the search for systemic involvement and the determination of cytoplasmic antineutrophil cytoplasmic antibody (C-ANCA) which has proved highly specific in the diagnosis of this pathology, after excluding commoner causes.