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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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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 (accessed 25/02/2014).
Publisher: Cambridge Journals
ISSN: 00222151
Date of First Compliant Deposit: 30 March 2016
Last Modified: 30 Jun 2017 03:25

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