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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Main Authors: Satoru Kodama, Nozomi Nomi, Masashi Suzuki
Format: Article
Language:English
Published: Wiley 2012-01-01
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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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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AT masashisuzuki wegenersgranulomatosiswithextensiveboneabnormalitiesmimickingfungalsinusitis