KMID : 1039520230270030161
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Journal of Audiology & Otology 2023 Volume.27 No. 3 p.161 ~ p.167
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A Case of Unilateral Otologic Symptoms as Initial Manifestations of Granulomatosis With Polyangiitis
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Franko Batinovic
Marina Krni? Martinic Merica Glavina Durdov Davor Sunara
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Abstract
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Granulomatosis with polyangiitis (GPA) is a chronic and systematic autoimmune condition characterized by granuloma formation and necrotizing vasculitis of small to medium-sized vessels. GPA initially presents itself as respiratory and renal symptoms. Although temporal bone involvement is not uncommon, an otologic disorder is rarely the initial symptom. We present a case of a 36-year-old man who presented with unilateral ear pain, hearing loss, and facial palsy. After a series of diagnostics and temporal bone and chest imaging, he was diagnosed with GPA with multiorgan involvement. Cyclophosphamide and methylprednisolone relieved the patient¡¯s ear pain and partially improved his hearing, facial palsy, and overall clinical condition. Although uncommon, systemic GPA may cause initial otologic symptoms and should not be dismissed as a possible cause of an otologic disease resistant to standard therapy.
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KEYWORD
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Granulomatosis with polyangiitis, Facial palsy, Hearing loss, Otalgia
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