[Misdiagnosis analysis of Wegener's granulomatosis in otorhinolaryngology].

OBJECTIVE

To investigate the early clinical features and development of Wegener's granulomatosis (WG), and to reduce the rate of misdiagnosis.

METHOD: Retrospective analysis of 32 WG patients who consulted in otorhinolaryngology department primarily was carried out.

RESULT: Among 32 cases, twenty-seven had been misdiagnosised (84%). Most of the cases were misdiagnosised as inflammation of otorhinolaryngology.

CONCLUSION

Many cases of WG were consulted at otorhinolaryngology doctors primarily. Otolaryngological presentation may be as rhinitis, otitis media, facial palsy or laryngeal obstruction and so on. Patients with these presentations not responding to the standard treatment should be further investigated for a diagnosis of WG. Demanding history detailed, thinking highly of the status of lung and kidneys, analyzing the abnormal examinations overall are the key points to reduce the rate of misdiagnosis of WG.