To report a case of granulomatosis with polyangiitis (GPA) initially presenting as secretory otitis media, highlighting the challenges in diagnosis and the importance of early recognition.
Approach:
Key Findings:
GPA can present with otological symptoms, which may lead to misdiagnosis and delayed treatment.
The patient exhibited facial paralysis and profound hearing loss without other systemic symptoms initially.
Early diagnosis and treatment are crucial to prevent complications.
Interpretation:
The case illustrates the atypical presentation of GPA and the necessity for otolaryngologists to consider systemic diseases in patients with refractory otological symptoms, particularly when conventional treatments fail.
Limitations:
The case is based on a single patient, limiting generalizability.
The initial misdiagnosis may have contributed to the delay in appropriate treatment, highlighting the need for awareness of GPA.
Conclusion:
Maintaining a high index of suspicion for GPA in patients with persistent otological symptoms is essential for timely intervention and to prevent irreversible complications.
