악성 외이도염으로 오인된 Wegener씨 육아종증 1예
A Case of Wegener’s Granulomatosis Mimicking Malignant External Otitis
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초록
Wegener’s Granulomatosis (WG) is necrotizing granulomatous vasculitis that has a strong affinity for upper respiratory tract. WG often presents otorhinolaryngologic manifestations, otologic symptoms are initial sign in some cases. The otologic onset of WG is very challengable for prompt diagnosis of WG. Patients with otologic presentations not responding to the standard treatment should be further investigated for a diagnosis of WG. We report a WG patient misdiagnosed with malignant external otitis caused by intractable acute otitis media.
Abstract
Wegener’s Granulomatosis (WG) is necrotizing granulomatous vasculitis that has a strong affinity for upper respiratory tract. WG often presents otorhinolaryngologic manifestations, otologic symptoms are initial sign in some cases. The otologic onset of WG is very challengable for prompt diagnosis of WG. Patients with otologic presentations not responding to the standard treatment should be further investigated for a diagnosis of WG. We report a WG patient misdiagnosed with malignant external otitis caused by intractable acute otitis media.
참고문헌 (17)
- Srouji IA, "Pattern of resentaion and diagnosis of patients with Wegener’s granulomatosis:ENT aspects", J Laryngol Otol, 121, pp.653~658 (2007)
- 박경태, "Wegener 육아종증의 진단과 치료에 대한 임상적 경험", 대한이비인후과학회지 두경부외과학, 51(12), pp.1109~1118 (2008), 대한이비인후과학회
- Kornblut AD, "Wegener’s granulomatosis", Laryngoscope, 90, pp.277~280 (1980)
- Gubbles SP, "Head and neck manifestations of Wegener’s garanulomatosis", Otolaryngol Clin North Am, 36, pp.685~705 (2003)
- Illum P, "Otological manifestations of Wegener’s granulomatosis", Laryngoscope, 92, pp.801~804 (1982)
- Arnold W, "Systemic autoimmune disease associated with hearing loss", Ann N Y Acad Sci, 830, pp.187~202 (1997)
- Small P, "Wegener’s granulomatosis and relapsing polychondritis: a case report", J Rheumatol, 7, pp.915~918 (1980)
- Hartl DM, "Wegener’s granulomatosis presenting as a recurrence of chronic otitis media", Am J Otolaryngol, 19, pp.54~60 (1998)
- Fenton JE, "The ontological manifestations of Wegener’s granulomatosis", J Laryngol Otol, 108, pp.144~146 (1994)
- Nikolaou AC, "Wegener’s granulomatosis presenting with bilateral facial nerve palsy", Eur Arch Otorhinolaryngol, 258, pp.198~202 (2001)
- Madhira S, "Limited wegener’s granulomatosis with predominant otological presentation", Indian J Otolaryngol Head Neck Surg, 63, pp.4~5 (2011)
- Slattery WH, "Skull base osteomyelitis. Malignant external otitis", Otolaryngol Clin North Am, 29, pp.795~806 (1996)
- Kountakis SE, "Osteomyelitis of the base of the skull secondary to Aspergillus", Am J Otolaryngol, 18, pp.19~22 (1997)
- Sharma A, "Wegener’s granulomatosis mimicking skull base osteomyelitis", J Laryngol Otol, 126, pp.203~206 (2012)
- Wierzbicka M, "Otologic symptoms as initial manifestation of Wegener granulomatosis: Diagnostic dilemma", Oto Neurotol, 32, pp.996~1000 (2011)
- Taylor SC, "Progression and management of Wegener’s granulomatosis in the head and neck", Laryngoscope, 122, pp.1695~1700 (2012)
- 이여명, "중이염으로 내원한 Wegener씨 육아종 1예", 임상이비인후과, 27(1), pp.127~132 (2016), 대한이비인후과학회 부산,울산,경남 지부회
