Parotis fistülünde ve iki taraflı nazal kitlede Wegener granülomatozu

Wegener granülomatozu WG , otorinolarengolojik tutulumun çok sık olduğu, ancak sistemik tutulumunun eşlik etmediği sınırlı olgularda, tanı konulmasında sıkıntı yaşanan ve genellikle geç tanı konulan bir vaskülittir. Geç tanı konulduğunda ise mortal seyredebileceğinden, Kulak Burun Boğaz hekimlerinin her zaman ayırıcı tanıda göz önünde bulundurması gereken bir hastalıktır. Bu yazıda, parotis bezi ve nazal tutulum ile kendini gösteren ve klinik ve patolojik bulgular ile tanısı konulmuş sınırlı bir WG olgusu sunuldu

Wegener granulomatosis in parotid fistula and bilateral nasal mass

Wegener granulomatosis WG is a vasculitis which otorhinolaryngological involvement is very frequent, but is often diagnosed in the late stage and makes the diagnosis complicated in limited cases without systemic involvement. As it can mortally progress in case of late diagnosis, it is a condition which should be always considered in the differential diagnosis by the ear-nose-and-throat specialists. Herein, we report a limited WG case which manifests itself with parotid gland and nasal involvement and was diagnosed based on the clinical and pathological findings.

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