Wegener's granulomatosis in the head and neck area: a difficult diagnosis

A case report of Wegener's granulomatosis of the head and neck area is pres ented to substantiate the claim that it is often difficult to make the diag nosis in spite of clinical symptoms and laboratory studies. Often a diagnos is of exclusion when isolated features of the disease are not present, Wege ner's granulomatosis must be effectively treated. The clinical manifestatio ns, laboratory studies, and histologic interpretations are discussed as wel l as other vasculitides considered in the diagnosis.