Intractable chronic otitis media, rhinosinusitis and facial palsy: a case of active granulomatosis with polyangiitis.

BMJ Case Rep

Department of Otolaryngology and Head Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, UK.

Published: September 2020

Granulomatosis with polyangiitis (GPA) is a rare systemic disease of unknown aetiology, characterised by necrotising granuloma formation and diffuse vasculitis. It typically affects the upper and lower respiratory tract in addition to the kidneys. Without treatment, the 2-year mortality rate exceeds 90%. We describe a presentation of intractable serous otitis media, rhinosinusitis, fever and unilateral facial palsy in an 18-year-old man with learning difficulties, which highlights the need for a high index of suspicion in diagnosing and treating this enigmatic disease.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7477998PMC
http://dx.doi.org/10.1136/bcr-2019-233685DOI Listing

Publication Analysis

Top Keywords

otitis media
8
media rhinosinusitis
8
facial palsy
8
granulomatosis polyangiitis
8
intractable chronic
4
chronic otitis
4
rhinosinusitis facial
4
palsy case
4
case active
4
active granulomatosis
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!