Int Arch Otorhinolaryngol 2014; 18 - a2470
DOI: 10.1055/s-0034-1388830

Wegener's Granulomatosis and Different Presentations at Otorhinolaryngology

Amanda Lucas da Costa 1, Inara Luiza Von Holleben 1, Leonardo Santos Hoff 1, Leticia Schmidt Rosito 1, Luíse Sgarabotto Pezzin 1, Sady Selaimen Costa 1
  • 1Hospital de Clínicas de Porto Alegre

Introduction: Granulomatosis with polyangiitis (Wegener) is a systemic vasculitis with involvement of the upper airways (UA) in 90% of cases, and the nasal cavity the most frequent site. Ear infections are described as the first manifestation in 25% of cases. However, facial paralysis, dysphonia, stridor, hearing loss, vertigo, and tinnitus are also reported ENT symptoms.

Objective: The study aims to describe a series of three cases where the presentation of the disease was through these complaints.

Materials and Methods: A descriptive study of a series of three consecutive cases at a tertiary hospital with literature review.

Conclusion: Involvement of VAS with systemic changes must entertain the possibility of vasculitis mainly to the otolaryngologist are refractory to the usual therapies requiring a multidisciplinary research and the search for differential diagnosis, thereby altering the prognosis of these patients; even when they do not include all laboratory findings of the disease.