Misdiagnosis Analysis of Microscopic Polyangiitis with Secretory Otitis Media
SHAO Yong-liang
ZHOU Yong-qing
LI Xiao-ming
WANG Ling
GAO Chun-mei
Abstract：Objective To investigate the manifestations on the ear, diagnostic and therapeutic modalities for micro-scopic polyangiitis ( MPA) , and to analyze the cause of misdiagnosis in order to reduce misdiagnosis and mistreatment rates. Methods The clinical data of one patient admitted into our hospital for MPA with secretory otitis media was retrospectively analyzed. Results The patient's major symptoms were bilateral middle ear effusion and conductive hearing loss. Firstly, the patient was diagnosed with secretory otitis media. After receiving conservative medicine treatment, repeated puncture drainage and myringotomy with catheter drainage, and undergoing myringotomy and tube insertion repeatedly with no effect, the patient showed the symptoms of cough, expectoration,and had blood in sputum. Subsequently, the anti-neutrophil cytoplasmic anti-bodies ( ANCA) relevant tests were made, and the diagnosis of MPA was established. After the administration of Prednisone and Cyclophosphamide, the patient's clinical condition improved. Now the patient is on a follow-up. Conclusion Some MPA patients may have ear symptoms, commonly seen as middle ear effusion, middle ear infections, and even sensorineural deaf-ness. A thorough recognition of this disease, detailed medical history enquiry and timely specific examinations may reduce the misdiagnosis and mistreatment rates. Early diagnosis and therapy can improve the prognosis of MPA.
Keywords：Microscopic polyangiitisMisdiagnosisOtitis media with effusion
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 40-44 )