J Korean Rheum Assoc.
2000 Sep;7(3):286-290.
Facial Palsy as a Presenting Symptom of Wegener's Granulomatosis
- Affiliations
-
- 1Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
- Wegener's granulomatosis is a serious multi-systemic disease pathologically characterized by necrotizing vasculitis and granuloma. Although nervous system is one of major target organs in Wegener's granulomatosis, the involvement of facial nerve was rarely reported as an initial symptom. We experienced a female patient with Wegener's granulomatosis presenting otitis media, sinusitis and right facial palsy. Nasal mucosal biopsy revealed necrotizing vasculitis with granuloma formation, which was consistent with Wegener's granulomatosis. During steroid and cyclophosphamide therapy, she developed paralysis of abducens nerve. Methyprednisolone pulse therapy was administrated with symptomatic improvement. We describe a case of Wegener's granulomatosis presenting facial nerve palsy.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Wegener's Granulomatosis Presenting as Bilateral Otalgia with Facial Palsy: A Case Report
- Wegener's Granulomatosis Presenting as Bilateral Facial Paralysis
- A Case of Wegener's Granulomatosis Presenting with Cerebral Infarction and Intracerebral Hemorrhage
- A Case of Wegener's Granulomatosis Presenting as a Diplopia
- Refractory Granulomatosis with Polyangiitis Presenting as Facial Paralysis and Bilateral Sudden Deafness
