악성 외이도염으로 오인된 Wegener씨 육아종증 1예

Wegener’s Granulomatosis (WG) is necrotizing granulomatous vasculitis that has a strong affinity for upper re-spiratory tract. WG often presents otorhinolaryngologic manifestations, otologic symptoms are initial sign in some cases. The otologic onset of WG is very challengable for prompt diagnosis of WG. Patients with otologic presentations not responding to the standard treatment should be further investigated for a diagnosis of WG. We report a WG patient misdiagnosed with malignant external otitis caused by intractable acute otitis media. (J Clinical Otolaryngol 2016;27:295–300)