Chronic otitis media and facial paralysis as a presenting feature of Wegener ' s granulomatosis
نویسنده
چکیده
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.
منابع مشابه
Bilateral Facial Paralysis and Otitis Media as the First Presentations of Wegener’s Granulomatosis: A Case Report
Introduction: Cranial nerve palsy in Wegener’s granulomatosis is a curious incident, particularly if it occurs without kidney or lung involvement. In a review of medical articles, only 1 case of Wegener’s granulomatosis with bilateral facial nerve palsy was found. Case Presentation: The patient was a 16-year-old female who presented with pain and hearing ...
متن کاملChronic 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...
متن کاملSequential Bilateral Otitis Media and Bilateral Facial Nerve Paralysis as Presenting Symptoms of Wegener’s Granulomatosis
Wegener’s granulomatosis is an incurable vasculitis that can be life-threatening when end-organ damage occurs. Symptoms most commonly affect the nose, lungs, and kidneys. We present a case study of a 35-year-old male who presented with sequential bilateral otitis media, progressive mixed hearing loss, tinnitus, otalgia, otorrhea, and, later, bilateral facial nerve paralysis despite aggressive a...
متن کاملMAST CELLS IN THE TYMPANIC PART OF THE FACIAL NERVE IN CHRONIC OTITIS MEDIA WITHOUT ASSOCIATED FACIAL PARALYSIS
The occurrence of mast cells is studied in the normal facial nerve and in the facial nerve post mortem exam of patients with chronic suppurative otitis media without associated facial paralysis. A small number of mast cells were found in the normal facial nerve. These cells were usually located in close proximity to the endoneural and epineural blood vessels. The number of mast cells was i...
متن کاملTuberculous Otitis Media Leading to Sequentialib Bilateral Facial Nerve Paralysis
Introduction: Tuberculous otitis media (TOM) is an uncommon, insidious, and frequently misdiagnosed form of tuberculosis (TB). In particular, TOM is usually secondary to direct transmission from adjacent organs, while the primary form has been rarely reported. The main aim of treatment is to start the patient on an antitubercular regime and early surgical intervention to decompress the facial n...
متن کامل