抗中性粒细胞胞浆抗体相关性中耳炎1例

A Case of Otitis Media with Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis

摘要: 抗中性粒细胞胞浆抗体相关性中耳炎是近几年提出的一个新概念，目前机制尚不明确，且由于缺乏特殊的症状表现在初诊时易误诊。本文报道1例以分泌性中耳炎为首发症状的ANCA相关性血管炎，并结合以往的相关文献，为耳鼻咽喉科医生早期诊断此类疾病提供一些诊断思路及治疗措施，避免患者因诊断不明确而延误病情导致严重的局部及全身性损害。

Abstract: Otitis media with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a new concept that has been proposed in recent years. The mechanism is still unclear, and the lack of specific symptomatic manifestations makes it easy to misdiagnose at first diagnosis. This paper reports a case of ANCA-associated vasculitis with secretory otitis media as the first symptom, and provides some diagnostic ideas and therapeutic measures for otolaryngologists to diagnose this disease at an early stage, so as to prevent patients from severe local and systemic damage due to delayed disease caused by unclear diagnosis.