Figure 1 - uploaded by Shayan Shahidi
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Source publication
Granulomatosis with polyangiitis (GPA, formerly Wegener's) is a rare form of vasculitis, commonly affecting the upper and lower respiratory tract with simultaneous glomerulonephritis. Ear, nose and throat (ENT) manifestations account for the majority of presentations. The presence of antineutrophil cytoplasmic antibody is a recognized hallmark of G...
Context in source publication
Context 1
... tomography (CT) of the internal meatuses demonstrated soft tissue thickening of the right middle ear cavity, aditus, antrum and mastoid air cells in keeping with otomastoiditis ( Fig. 1), but no destructive or erosive pathology to account for the multiple neuropathies elicited on examination. A subsequent magnetic resonance imaging (MRI) scan demonstrated a 2.5 centimeter (cm) right skull base inflammatory mass, involving the internal carotid artery and jugular foramen (Fig. 2). Anti-microbial therapy was subsequently ...
Citations
Some patients with autoimmune disease will experience otologic symptoms, such as pain and hearing loss. We present a patient with ANCA-associated vasculitis who required surgery for a suspicious mastoid lesion associated with her disease.
