Misleading clinical features in Wegener's granulomatosis. A case report

Wegener's granulomatosis is a systemic vasculitis that may present with a Variety of findings and be difficult to diagnose. We report a case of a patient who presented with serous otitis media and subsequently developed a suspected primary lung tumour. Thoracotomy and pulmonary mass excision we...

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Bibliographic Details
Published in:Journal of laryngology and otology 1997-08, Vol.111 (8), p.746-748
Main Authors: Almadori, Giovanni, Trivelli, Maurizio, Scarano, Emanuele, Cadoni, Gabriella
Format: Article
Language:English
Subjects:
Antibodies, Antineutrophil Cytoplasmic - blood
Biological and medical sciences
Clinical Records
Diagnosis, Differential
Female
Granuloma
Granulomatosis with Polyangiitis - diagnosis
Granulomatosis with Polyangiitis - immunology
Granulomatosis with Polyangiitis - pathology
Humans
Lung Neoplasms - diagnosis
Medical sciences
Middle Aged
Otitis media with effusion
Otitis Media with Effusion - complications
Otitis Media with Effusion - pathology
respiratory tract
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Tomography, X-Ray Computed
Wegener's granulomatosis
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Summary:Wegener's granulomatosis is a systemic vasculitis that may present with a Variety of findings and be difficult to diagnose. We report a case of a patient who presented with serous otitis media and subsequently developed a suspected primary lung tumour. Thoracotomy and pulmonary mass excision were required to establish the diagnosis. Otological manifestations of Wegener's granulomatosis, differential diagnosis, pathological findings and c-ANCA test role are discussed.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100138502