Otorhinolaryngological manifestations in granulomatosis with polyangiitis (Wegener's)

Matteo Trimarchi, Renato Alberto Sinico, Roberto Teggi, Mario Bussi, Ulrich Specks, Pier Luigi Meroni

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Granulomatosis with polyangiitis (Wegener's, GPA) is an uncommon disease of unknown etiology classically involves the ELK triad of the ear, nose, throat (E), lungs (L) and kidneys (K) with necrotizing granulomatous inflammation and vasculitis. Most of the initial symptoms begin in the head and neck region with a wide spectrum of involvement of any site ranging from the nasal septum, paranasal sinuses, oral mucosa, larynx and even the external, middle and internal ear. Diagnosis may be delayed because the onset is heterogeneous and sometimes limited to one organ. The pathologic findings of a characteristic inflammatory reaction pattern, and the serum findings of elevated antineutrophil cytoplasmic antibodies can help to establish the diagnosis. The differentiation from other conditions that mimic GPA such as lymphoma and infections is of critical importance to initiate appropriate treatment. Treatment of the underlying disease is medical with the use of immunosuppressive agents and will not be reviewed here. This review focuses on the otorhinolaryngologic manifestation and complication of GPA as well as their surgical management and specifies the role of the otorhinolaryngologist as an integral member of the multidisciplinary care team for patients with GPA.

Original languageEnglish
Pages (from-to)501-505
Number of pages5
JournalAutoimmunity Reviews
Volume12
Issue number4
DOIs
Publication statusPublished - 2013

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Granulomatosis with Polyangiitis
External Ear
Nasal Septum
Antineutrophil Cytoplasmic Antibodies
Patient Care Team
Paranasal Sinuses
Mouth Mucosa
Middle Ear
Inner Ear
Immunosuppressive Agents
Larynx
Vasculitis
Pharynx
Nose
Ear
Lymphoma
Neck
Head
Inflammation
Kidney

Keywords

  • ANCA
  • Cocaine
  • Crusting
  • Fungal sinusitis
  • Granulomatosis with polyangiitis
  • Lymphoma
  • Otitis media
  • Sarcoidosis
  • Septal perforation
  • Subglottic stenosis
  • Wegener's granulomatosis

ASJC Scopus subject areas

  • Immunology
  • Immunology and Allergy

Cite this

Otorhinolaryngological manifestations in granulomatosis with polyangiitis (Wegener's). / Trimarchi, Matteo; Sinico, Renato Alberto; Teggi, Roberto; Bussi, Mario; Specks, Ulrich; Meroni, Pier Luigi.

In: Autoimmunity Reviews, Vol. 12, No. 4, 2013, p. 501-505.

Research output: Contribution to journalArticle

Trimarchi, Matteo ; Sinico, Renato Alberto ; Teggi, Roberto ; Bussi, Mario ; Specks, Ulrich ; Meroni, Pier Luigi. / Otorhinolaryngological manifestations in granulomatosis with polyangiitis (Wegener's). In: Autoimmunity Reviews. 2013 ; Vol. 12, No. 4. pp. 501-505.
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