The case is presented of a 47-year-old woman with an 8-week history of pers
istent right ear discomfort and a 2-week history of unilateral parotid swel
ling, as well as peripheral paresis of the facial nerve. The case points to
the difficulties encountered when Wegener's granulomatosis presents in an
unusual and varied way which mimics a malignant tumour of the parotid gland
. To our knowledge, the association of parotid gland involvement and facial
palsy in Wegener's granulomatosis has not previously been described in the
literature.