Karmody C S
Otolaryngology. 1978 Jul-Aug;86(4 Pt 1):ORL-573-84. doi: 10.1177/01945998780860s409.
Presentation of Wegener's granulomatosis as an otologic problem is unusual and leads to incorrect diagnosis and unsuccessful therapy. In seven years, five patients with a diagnosis of otitis media failed to respond to the usual therapeutic regimens. All had surgical manipulations on the middle ear or mastoid, or both. Wegener's granulomatosis was suspected because of persistence of the otologic problem. All patients developed pulmonary lesions and had positive diagnoses by biopsy of either the lung, kidney, or upper respiratory mucosa. Withe timely treatment, all patients have survived.
韦格纳肉芽肿病以耳部问题表现较为罕见，会导致诊断错误和治疗失败。七年间，五名被诊断为中耳炎的患者对常规治疗方案无反应。所有患者均接受了中耳或乳突或两者的手术操作。由于耳部问题持续存在，怀疑是韦格纳肉芽肿病。所有患者均出现肺部病变，经肺、肾或上呼吸道黏膜活检确诊。经及时治疗，所有患者均存活。
