Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2016; 27(2):295-300

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2016.27.2.295

증례

악성 외이도염으로 오인된 Wegener씨 육아종증 1예

김보영¹, 김재기², 이태훈²^,^*

A Case of Wegener’s Granulomatosis Mimicking Malignant External Otitis

Bo-Young Kim¹, Jae Ki Kim², Tae-Hoon Lee²^,^*

¹메리놀병원 이비인후과

²울산대학교 의과대학 울산대학교병원 이비인후과학교실

¹Department of Otolaryngology-Head and Neck Surgery, Maryknoll Hospital, Busan, Korea

²Department of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea

^*교신저자: 이태훈, 44033 울산광역시 동구 방어진순환도 로 877 울산대 학교 의과대학 울산대학교병원 이비인후과 학교실 전화： (052) 250-7180·전송: (052) 234-7182 E-mail： thlee@uuh.ulsan.kr

© Copyright 2016 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jan 27, 2016; Revised: Apr 12, 2016; Accepted: May 18, 2016

Published Online: May 31, 2020

ABSTRACT

Wegener’s Granulomatosis (WG) is necrotizing granulomatous vasculitis that has a strong affinity for upper re-spiratory tract. WG often presents otorhinolaryngologic manifestations, otologic symptoms are initial sign in some cases. The otologic onset of WG is very challengable for prompt diagnosis of WG. Patients with otologic presentations not responding to the standard treatment should be further investigated for a diagnosis of WG. We report a WG patient misdiagnosed with malignant external otitis caused by intractable acute otitis media. (J Clinical Otolaryngol 2016;27:295–300)

Keywords: Wegener 씨 육아종; 악성 외이도염; 중이염

Keywords: Wegener’s granulomatosis; Malignant otitis externa; Otitis media