Wegener’s granulomatosis mimicking a parotid abscess

Jones, G. L., Lukaris, A. D., Prabhu, H. V., Brown, M. J. K. M. and Bondeson, Jan 2005. Wegener’s granulomatosis mimicking a parotid abscess. The Journal of Laryngology & Otology 119 (9) , pp. 746-749. 10.1258/0022215054797952

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Abstract

We present the case of a previously healthy 59-year-old man who was under treatment for scleritis and episcleritis when he developed a parotid-gland swelling and pus-producing sinus. On surgical exploration, the features were those of a parotid abscess, but the lesion not only failed to heal post-operatively but increased in size very significantly. There was also severe necrotizing keratitis of the eyes. Due to clinical suspicion and a positive antineutrophil cytoplasmic antibodies test, Wegener’s granulomatosis was diagnosed and the patient successfully treated with cyclophosphamide and steroids. Previously, a number of cases of Wegener’s granulomatosis causing salivary-gland swelling have been reported in the literature; this is the first case in which the disease has masqueraded as a parotid abscess.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Additional Information:	Pdf uploaded in accordance with publisher's policy at http://www.sherpa.ac.uk/romeo/issn/0022-2151/ (accessed 25/02/2014).
Publisher:	Cambridge Journals
ISSN:	00222151
Date of First Compliant Deposit:	30 March 2016
Last Modified:	16 May 2023 22:55
URI:	https://orca.cardiff.ac.uk/id/eprint/57088

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