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Otorhinolaryngologic examination revealed occupation of the left nasal passage and the left maxillary sinus by an inflammatory tumour, the biopsy results of which were inconclusive. While diagnostic tests were being carried out, the patient presented a severe systemic condition consisting mainly of anemia, acute renal failure, and cavitated diffuse bilateral lung infiltrates. In the light of the results of anti-neutrophilic cytoplasmic antibodies and renal biopsy, Wegener's granulomatosis was diagnosed and treatment for the disease was instituted, with a favourable response. Finally, clinical manifestations of Wegener's granulomatosis are reviewed, with special emphasis on otolaryngologic complaints.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Varón de 77 años que comenzó con un cuadro de sensación de obstrucción nasal y epistaxis. Los exámenes otorrinolaringológicos mostraron una ocupación de la fosa nasal y el seno maxilar izquierdos por una tumoración inflamatoria, cuya biopsia no resultó diagnóstica. Mientras se estudiaban dichos síntomas, el paciente presentó un grave cuadro sistémico, fundamentalmente anemia, insuficiencia renal aguda e infiltrados alveolointersticiales bilaterales pulmonares cavitados. Con base en la positividad de los anticuerpos anticitoplasma de neutrófilo y el resultado de la biopsia renal, se estableció el diagnóstico de granulomatosis de Wegener y se inició su tratamiento, con buena respuesta clínica. 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Epistaxis and systemic disease
Epistaxis y enfermedad sistémica
Bernardino Roca
Servicio de Medicina Interna, Hospital General de Castellón, Universidad de Valencia, Castellón de la Plana, Spain