Why don’t we treat the disease written all over patient’s face? Diagnostic difficulties in limited vasculitis

Maciej Krawczyk; Joanna Marszał; Alicja Przybycin; Paulina Podlawska

eISSN: 2084-9842
ISSN: 1643-9279

Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery

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1/2021
vol. 20

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abstract:

Review paper

Why don’t we treat the disease written all over patient’s face? Diagnostic difficulties in limited vasculitis

Maciej Krawczyk

¹

,

Joanna Marszał

¹

,

Alicja Przybycin

¹

,

Paulina Podlawska

¹

Klinika Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu

Postępy w Chirurgii Głowy i Szyi 2021; 1: 11–16

Online publish date: 2021/10/24

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Saddle nose deformity is most commonly caused by trauma or iatrogenic intervention. Among other causes, that may be the reason of referring the patient to otolaryngologist, granulomatosis with polyangiitis (GPA) stands out. In upper respiratory tract manifests itself by rhinosinusitis with bloody-purulent discharge, crusting, nasal cartilage destruction and saddle nose deformity. Furthermore, chronic otitis media and interna can be observed that appear as otalgia, worsening or loss of hearing, tinnitus and vertigo. We report a case of 73-years old woman with suspicion of GPA, pointing out the difficulties accompanying the diagnostic process.

keywords:

Why don’t we treat the disease written all over patient’s face? Diagnostic difficulties in limited vasculitis

Maciej Krawczyk 1 , Joanna Marszał 1 , Alicja Przybycin 1 , Paulina Podlawska 1

saddle nose, granulomatosis with polyangiitis, ANCA, Wegener’s granulomatosis

Maciej Krawczyk

¹

,

Joanna Marszał

¹

,

Alicja Przybycin

¹

,

Paulina Podlawska

¹