Wegener's granuloma - Presenting as a unilateral parotid swelling

R. Benson-Mitchell, N. Tolley, C. B. Croft, D. Roberts

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Wegener's granuloma is a systemic necrotizing vasculitis which predominantly affects the upper and lower respiratory tracts and kidneys. The nose and paranasal sinuses are often the first or main sites to be affected. Equally ear involvement is common and a recognized early manifestation of the disease. Salivary gland involvement is rare and is usually part of more widespread systemic involvement. We present a 34-year-old female with a six-week history of hearing loss and a unilateral parotid swelling. One year previously she was diagnosed as having myalgic encephalomyelitis following a long period of post-viral malaise. The case points to the difficulties encountered when Wegener's granuloma presents in an unusual and varied way. A high index of suspicion coupled with early diagnosis and treatment is essential. The patient made a good recovery.

Original languageEnglish (US)
Pages (from-to)431-432
Number of pages2
JournalJournal of Laryngology and Otology
Issue number5
StatePublished - 1994
Externally publishedYes


  • Parotid gland
  • Wegener's granulomatosis

ASJC Scopus subject areas

  • Otorhinolaryngology


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