Open AccessDo you know otitis media with ANCA ‐Associated Vasculitis ( OMAAV )?
Author(s) -
Hisata Yoshio,
Sasaki Eisuke,
Ishimaru Koutaro,
Harada Yousuke,
Nakano Hirohumi,
Naitou Shinji,
Sugioka Takashi
Publication year - 2017
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.112
Subject(s) - medicine , otitis , anti neutrophil cytoplasmic antibody , hearing loss , vasculitis , microscopic polyangiitis , prednisolone , differential diagnosis , panca , pneumonia , lesion , pathology , surgery , audiology , disease
Abstract Hearing loss is often the only symptom of OMAAV at initial presentation, thus making early diagnosis difficult. We present OMAAV in a 70‐year‐old woman with hearing loss and dry cough. Otoscopy showed otitis media with effusion. Audiometry showed mixed hearing loss, especially in the right ear. Serum myeloperoxidase antineutrophil cytoplasmic antibody was positive. Image analyses showed lung lesion and interstitial pneumonia, while bronchoscopy showed possible microscopic polyangiitis. After starting and tapering prednisolone, respiratory and otologic symptoms improved. When examining patients with acute otologic symptoms and suspected lung and/or renal disease, OMAAV should be included in differential diagnosis.