Open AccessIntractable otitis media as a diagnostic clue to antineutrophil cytoplasmic antibody‐associated vasculitis
Author(s) -
Ishikawa Yukiko,
Takeda Koichi,
Akiyama Yoichiro,
Matsumura Masami
Publication year - 2017
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.67
Subject(s) - medicine , otitis , anti neutrophil cytoplasmic antibody , vasculitis , anorexia , medical history , dermatology , pediatrics , pathology , surgery , disease
Antineutrophil cytoplasmic antibody‐associated vasculitis ( AAV ) presents a variety of manifestations. Two patients with a history of intractable otitis media were diagnosed as having AAV . One was an 87‐year‐old woman who presented with cough, anorexia, and fever with a one‐year and four‐month history of otitis media, and the other was a 65‐year‐old woman with arthritis that appeared after the diagnosis of otitis media. The history of otitis media was a diagnostic clue to AAV in both patients. Diagnosis at the early localized stage is crucial to prevent irreversible status of AAV . Primary care physicians should be aware of the otological manifestation of AAV .