A Rare Case of Granulomatosis With Polyangiitis (Wegener’s Granulomatosis) Presenting With Otologic Symptoms and Facial Paralysis
Year: 2024
Type: article
Study design: Case Report
Abstract: Granulomatosis with polyangiitis (GPA) is an uncommon disorder that causes inflammation of the blood vessels in the nose, throat, lungs, and kidneys. We describe a 20-year-old female who presented to the emergency room with acute left facial paralysis, worsening left-sided otalgia secondary to a hyperemic tympanic membrane with middle ear granulation tissue, nasal obstruction with associated intermittent epistaxis, and cough. A high index of suspicion for GPA helped make an early diagnosis with subsequent initiation of treatment. This case details an unusual presenting symptom for GPA, as well as our treatment plan and the patient's subsequent recovery.
Source: Cureus
DOI: 10.7759/cureus.74602
Authors: Lucas Kim, Mobeen Shirazi
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404789633