Pathology quiz case 3: Diagnosis: Wegener granulomatosis

摘要

A 43-YEAR-OLD MAN PRESENTED WITH COM-plaints of severe left otalgia, left otorrhea, and bilateral hearing loss. The patient had previously failed medical treatment for oti-tis media and had undergone a left mastoid-ectomy at an outside facility. Postoperatively, he developed a delayed facial palsy and recurrent symptoms. One month prior to his mastoidectomy, the patient underwent endo-scopic sinus surgery, excision of a nasal mass, and left tym-panostomy tube placement. A review of systems revealed bilateral knee pain, and he reported a family history of rheumatoid arthritis. His history was otherwise unremarkable.