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 presented to substantiate the claim that it is often difficult to make the diagnosis in spite of clinical symptoms and laboratory studies. Often a diagnosis of exclusion when isolated features of the disease are not present, Wegener's granulomatosis must be effectively treated. The clinical manifestations, laboratory studies, and histologic interpretations are discussed as well as other vasculitides considered in the diagnosis.