Ibáñez-Bermúdez F, Castillo Ceballos A, Gallardo Avila A, Pérez Benítez T, Criado Montilla J, Martínez García R C
Servico de Medicina Interna, Hospital Infanta Margarita, Cabra (Córdoba).
Acta Otorrinolaringol Esp. 1995 Sep-Oct;46(5):361-4.
A 62-year-old female patient consulted for a suppurative-hemorrhagic nasal condition 18 months evolution. Exploration found granulomatous rhinitis which was producing septal perforation and histology compatible with necrotizing granulomatous vasculitis, fulfilling the diagnostic criteria for focal Wegener's granulomatosis, in view of the absence of lung and renal damage. Treatment with trimethoprim-sulfamethoxazole alone described in the medical literature as an option for this process, yielded excellent results with remission of symptoms and normalization of the exploration.
一名62岁女性患者因化脓性出血性鼻腔疾病前来就诊，病程已有18个月。检查发现为肉芽肿性鼻炎，伴有鼻中隔穿孔，组织学检查结果与坏死性肉芽肿性血管炎相符，鉴于无肺部和肾脏损害，符合局限性韦格纳肉芽肿的诊断标准。医学文献中提到单独使用甲氧苄啶-磺胺甲恶唑治疗这一病症，结果症状缓解，检查结果恢复正常，疗效极佳。
