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  • Title: Wegener's granulomatosis mimicking a parotid abscess.
    Author: Jones GL, Lukaris AD, Prabhu HV, Brown MJ, Bondeson J.
    Journal: J Laryngol Otol; 2005 Sep; 119(9):746-9. PubMed ID: 16156923.
    Abstract:
    We present the case of a previously healthy 59-year-old man who was under treatment for scleritis and episcleritis when he developed a parotid-gland swelling and pus-producing sinus. On surgical exploration, the features were those of a parotid abscess, but the lesion not only failed to heal post-operatively but increased in size very significantly. There was also severe necrotizing keratitis of the eyes. Due to clinical suspicion and a positive antineutrophil cytoplasmic antibodies test, Wegener's granulomatosis was diagnosed and the patient successfully treated with cyclophosphamide and steroids. Previously, a number of cases of Wegener's granulomatosis causing salivary-gland swelling have been reported in the literature; this is the first case in which the disease has masqueraded as a parotid abscess.
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