Facial Palsy with Tongue Ulcer: A Rare Initial Presentation of Granulomatosis with Polyangiitis
10.21315/aos2022.1701.CR01
- Author:
Ain Nabila Za’im Nur
1
;
Mohd Shawal Firdaus Mohamad
2
;
Noor Afidah Abdullah
3
;
Geok Chin Tan
3
;
Azman Mawaddah
1
Author Information
1. Department of Otorhinolaryngology, Universiti Kebangsaan Malaysia, Jalan Yaakob Latif, 56000 Cheras, Kuala Lumpur, Malaysia
2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Teknologi MARA, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
3. Department of Pathology, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia
- Publication Type:Case Reports
- Keywords:
Facial asymmetry;
Granulomatosis polyangiitis;
Oral ulcer;
Otitis media
- MeSH:
Facial Paralysis;
Oral Ulcer;
Granulomatosis with Polyangiitis
- From:Archives of Orofacial Sciences
2022;17(1):151-156
- CountryMalaysia
- Language:English
-
Abstract:
ABSTRACT:Granulomatosis with polyangiitis (GPA) is a rare multisystem disease. Although GPA is rare, it
commonly presents in a localised stage where its manifestation involves the upper or lower respiratory
tract before progressing to a generalised stage. Therefore, most patients with GPA will visit an oral
surgeon or an otolaryngologist to seek treatment. However, the diagnosis of GPA is often delayed as
GPA is not frequently considered as a differential diagnosis in common oral and facial diseases. The lack
of gold standard investigation for the diagnosis of GPA makes management of this case, a diagnostic
conundrum. We herein report a patient who was diagnosed with bilateral acute otitis media and left
mastoiditis complicated with facial nerve palsy, and later developed tongue ulceration one month after
his initial presentation. The ear, facial and oral symptoms represent a diagnostic red herring to a full-blown generalised stage of GPA.
- Full text:2.2022my0013.pdf
