Bibas A, Fahy C, Sneddon L, Bowdler D
Department of Otorhinolaryngology, University Hospital Lewisham, London, UK.
J Laryngol Otol. 2001 Apr;115(4):304-6. doi: 10.1258/0022215011907253.
A case of Wegener's granulomatosis, which presented as chronic otitis media with facial nerve palsy, is described. Early diagnosis is vital if unnecessary surgical exploration is to be avoided. A false negative cANCA may delay the diagnosis, especially in cases of locoregional disease, and a policy of repeated titres should be adopted, if clinical suspicion is high.
本文描述了一例以慢性中耳炎伴面神经麻痹为表现的韦格纳肉芽肿病例。若要避免不必要的手术探查，早期诊断至关重要。抗中性粒细胞胞浆抗体（cANCA）假阴性可能会延迟诊断，尤其是在局部区域疾病的情况下，如果临床怀疑度高，应采取重复检测滴度的策略。
