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韦格纳肉芽肿(wegener′s granulomatosis,WG)是一种坏死性肉芽肿性血管炎,主要侵犯上、下呼吸道和肾脏。以腮腺肿大为首发表现的WG较少见,目前国内尚无报道,本文介绍1例以腮腺肿大为首发表现的WG,以提高对本病的认识。患者男,71岁。主因右腮腺肿痛伴发热5个月,右侧面瘫半个月于2006年1月19日入院。患者5个月前发现右耳后肿物,伴疼痛、低热,抗生素治疗无效,肿物逐渐肿大,并出现右侧听力下降,外院经组织活检考虑为“慢性炎症”,3个多月前开始抗结核和局部换药治疗,伤口逐渐愈合。半个月前右
Wegener’s granulomatosis (WG) is a necrotizing granulomatous vasculitis that mainly affects the upper and lower respiratory tract and the kidneys. WG parotid gland enlargement as the first performance of the less common, at present there is no report, this article describes a case of parotid gland enlargement as the first manifestation of WG, to improve awareness of the disease. Patient male, 71 years old. The main parotid gland swelling and pain with fever 5 months, right hemiplegia for half a month in January 19, 2006 admission. Patient 5 months ago found the right ear tumor, with pain, fever, antibiotic treatment ineffective, tumor gradually enlarged, and the right hearing loss, outside the hospital biopsy considered as “chronic inflammation” more than 3 months ago Start anti-TB and local dressing treatment, the wound gradually healed. Right half a month ago