Presentation and initial assessment of ENT problems in patients with granulomatosis with polyangiitis (Wegener's)

J Laryngol Otol. 2014 Aug;128(8):730-7. doi: 10.1017/S0022215114001492. Epub 2014 Jul 22.

Abstract

Background: Granulomatosis with polyangiitis (formerly known as Wegener's granulomatosis) is a primary systemic vasculitis that affects medium to small sized vessels throughout the body. It often presents with symptoms and signs involving the ear, nose, and head and neck area.

Objective: To highlight salient features of ENT-related issues in granulomatosis with polyangiitis, and raise awareness of the condition.

Methods: A case report of a patient with limited disease and an insidious onset is presented, along with a review of the current literature. In addition, basic initial management is described.

Results: Eighty-six publications were used to describe salient features of ENT-related issues in granulomatosis with polyangiitis.

Conclusion: The time to diagnosis has not reduced significantly in the last 10 years in the UK. A high index of suspicion is required for an earlier diagnosis of granulomatosis with polyangiitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ear Diseases / diagnosis
  • Female
  • Granulomatosis with Polyangiitis / diagnosis*
  • Granulomatosis with Polyangiitis / therapy
  • Humans
  • Nose Diseases / diagnosis
  • Pharyngeal Diseases / diagnosis