視力低下, 嗄声, 嚥下障害, 難聴を呈した Wegener 肉芽腫症疑い例 A Suspected Case of Wegener's Granulomatosis with Poor Eyesight, Hoarseness, Dysphagia and Hearing Loss
We report a suspected case of Wegener's granulomatosis with poor eyesight, hoarseness, dysphagia and hearing loss. The variety of neurological symptoms made diagnosis difficult. But Wegener's granulomatosis was suspected because of the PR-3ANCA level. Symptoms were improved by steroid and cyclophosphamide administration, but the patient stopped cyclophosphomaide on his own initiative and hearing loss worsened thereaftered. Readministration of cyclophosphamide improved the hearing, but poor eyesight and recurrent nerve paralysis persisted.
耳鼻咽喉科臨床 101(3), 237-242, 2008-03-01
The Society of Practical Otolaryngology