Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report
Introduction. Wegener’s granulomatosis belongs to a group of systemic vasculitis diseases, which is characterized by necrotizing vasculitis and presence of granulomas. In a lot of cases, the first symptoms of the disease are observed in the head and neck region, but the bilateral facial nerve palsy...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2013/875108 |
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| author | Anna Roszkowska Monika Morawska-Kochman Hanna Temporale Małgorzata Sikorska-Żuk Tomasz Kręcicki |
| author_facet | Anna Roszkowska Monika Morawska-Kochman Hanna Temporale Małgorzata Sikorska-Żuk Tomasz Kręcicki |
| author_sort | Anna Roszkowska |
| collection | DOAJ |
| description | Introduction. Wegener’s granulomatosis belongs to a group of systemic vasculitis diseases, which is characterized by necrotizing vasculitis and presence of granulomas. In a lot of cases, the first symptoms of the disease are observed in the head and neck region, but the bilateral facial nerve palsy occurs very rarely. Objective. The objective of our report was to describe the unusual course of Wegener’s granulomatosis with the bilateral facial nerve paralysis, which subsided after application of steroids and immunosuppressive therapy in combination with surgical treatment. Results and Conclusions. Hearing loss may precede other symptoms in Wegener’s granulomatosis. Ear pain and otorrhea may suggest the diagnosis of bacterial purulent otitis media and delay the proper diagnosis. In the presented case, considering the clinical course, it was necessary to apply both pharmacological and surgical treatments. |
| format | Article |
| id | doaj-art-b24b52df4da14d52becb37323195f295 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-b24b52df4da14d52becb37323195f2952025-02-03T06:01:13ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/875108875108Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case ReportAnna Roszkowska0Monika Morawska-Kochman1Hanna Temporale2Małgorzata Sikorska-Żuk3Tomasz Kręcicki4Department of Otolaryngology Head and Neck Surgery, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandDepartment of Otolaryngology Head and Neck Surgery, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandDepartment of Otolaryngology Head and Neck Surgery, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandDepartment of Otolaryngology Head and Neck Surgery, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandDepartment of Otolaryngology Head and Neck Surgery, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandIntroduction. Wegener’s granulomatosis belongs to a group of systemic vasculitis diseases, which is characterized by necrotizing vasculitis and presence of granulomas. In a lot of cases, the first symptoms of the disease are observed in the head and neck region, but the bilateral facial nerve palsy occurs very rarely. Objective. The objective of our report was to describe the unusual course of Wegener’s granulomatosis with the bilateral facial nerve paralysis, which subsided after application of steroids and immunosuppressive therapy in combination with surgical treatment. Results and Conclusions. Hearing loss may precede other symptoms in Wegener’s granulomatosis. Ear pain and otorrhea may suggest the diagnosis of bacterial purulent otitis media and delay the proper diagnosis. In the presented case, considering the clinical course, it was necessary to apply both pharmacological and surgical treatments.http://dx.doi.org/10.1155/2013/875108 |
| spellingShingle | Anna Roszkowska Monika Morawska-Kochman Hanna Temporale Małgorzata Sikorska-Żuk Tomasz Kręcicki Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report Case Reports in Otolaryngology |
| title | Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report |
| title_full | Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report |
| title_fullStr | Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report |
| title_full_unstemmed | Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report |
| title_short | Bilateral Facial Palsy in Rapidly Progressive Course of Wegener’s Granulomatosis: A Case Report |
| title_sort | bilateral facial palsy in rapidly progressive course of wegener s granulomatosis a case report |
| url | http://dx.doi.org/10.1155/2013/875108 |
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