Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis
Abnormalities of the underlying bone of the paranasal sinuses have sometimes been shown in Wegener’s granulomatosis (WG). We describe an interesting case of WG with extensive bone abnormalities in the sinuses mimicking fungal sinusitis. A 30-year-old woman presented with intermittent unilateral epis...
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Wiley
2012-01-01
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Series: | Case Reports in Otolaryngology |
Online Access: | http://dx.doi.org/10.1155/2012/103403 |
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author | Satoru Kodama Nozomi Nomi Masashi Suzuki |
author_facet | Satoru Kodama Nozomi Nomi Masashi Suzuki |
author_sort | Satoru Kodama |
collection | DOAJ |
description | Abnormalities of the underlying bone of the paranasal sinuses have sometimes been shown in Wegener’s granulomatosis (WG). We describe an interesting case of WG with extensive bone abnormalities in the sinuses mimicking fungal sinusitis. A 30-year-old woman presented with intermittent unilateral epistaxis. Biopsy was performed for the granulation tissue in the right nasal cavity, and she was diagnosed as having WG. Computed tomography (CT) revealed a ring-like calcification, mimicking a fungus ball, in the right maxillary sinus. Endoscopic sinus surgery was performed to confirm the diagnosis. A spherical bony structure, surrounded by granulation tissue, was identified in the maxillary sinus. The wall of the “bony ball” was fragile, like an egg shell. No fungus was found in the sinus. Thus, the extensive bone abnormalities were due to WG. |
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institution | Kabale University |
issn | 2090-6765 2090-6773 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
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series | Case Reports in Otolaryngology |
spelling | doaj-art-b7cf0c8e15bd48aeb07e5650930053fc2025-02-03T01:09:36ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/103403103403Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal SinusitisSatoru Kodama0Nozomi Nomi1Masashi Suzuki2Department of Otolaryngology, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hazama-Machi, Oita, Yufu 879-5593, JapanDepartment of Otolaryngology, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hazama-Machi, Oita, Yufu 879-5593, JapanDepartment of Otolaryngology, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hazama-Machi, Oita, Yufu 879-5593, JapanAbnormalities of the underlying bone of the paranasal sinuses have sometimes been shown in Wegener’s granulomatosis (WG). We describe an interesting case of WG with extensive bone abnormalities in the sinuses mimicking fungal sinusitis. A 30-year-old woman presented with intermittent unilateral epistaxis. Biopsy was performed for the granulation tissue in the right nasal cavity, and she was diagnosed as having WG. Computed tomography (CT) revealed a ring-like calcification, mimicking a fungus ball, in the right maxillary sinus. Endoscopic sinus surgery was performed to confirm the diagnosis. A spherical bony structure, surrounded by granulation tissue, was identified in the maxillary sinus. The wall of the “bony ball” was fragile, like an egg shell. No fungus was found in the sinus. Thus, the extensive bone abnormalities were due to WG.http://dx.doi.org/10.1155/2012/103403 |
spellingShingle | Satoru Kodama Nozomi Nomi Masashi Suzuki Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis Case Reports in Otolaryngology |
title | Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis |
title_full | Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis |
title_fullStr | Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis |
title_full_unstemmed | Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis |
title_short | Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis |
title_sort | wegener s granulomatosis with extensive bone abnormalities mimicking fungal sinusitis |
url | http://dx.doi.org/10.1155/2012/103403 |
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