Banerjee A, Armas J M, Dempster J H
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK.
J Laryngol Otol. 2001 Jan;115(1):46-7. doi: 10.1258/0022215011906768.
Wegener's granulomatosis is a systemic disease characterized by a granulomatous lesion that can affect any organ throughout the body. This case-report illustrates the problem posed by a patient presenting with bilateral serous otitis media with marked sensorineural hearing loss, facial nerve paralysis and an atypical serological picture. The importance of early diagnosis and the protocol for the management of a patient with an uncertain diagnosis is discussed. Due to atypical presentations, only a high index of suspicion will ensure an early diagnosis.
韦格纳肉芽肿病是一种全身性疾病，其特征为肉芽肿性病变，可累及全身任何器官。本病例报告阐述了一名出现双侧浆液性中耳炎并伴有明显感音神经性听力损失、面神经麻痹及非典型血清学表现的患者所带来的问题。文中讨论了早期诊断的重要性以及对诊断不明患者的管理方案。由于存在非典型表现，只有高度怀疑才能确保早期诊断。
