More Than Meets the Ear.

被引：3
作者：
Marinopoulos, Spyridon S. [1 ]
Coylewright, Megan [1 ]
Auwaerter, Paul G. [1 ]
Flynn, John A. [1 ]
机构：
[1] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
来源：
NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 13期
关键词：
ANTIBODY-ASSOCIATED VASCULITIS; WEGENERS-GRANULOMATOSIS; RANDOMIZED-TRIAL; DISEASE; METHOTREXATE; MAINTENANCE;
D O I：
10.1056/NEJMcps0808968
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 62-year-old, generally healthy man presented with a "clogged" sensation and a 6-week history of diminished hearing in his right ear. He had no tinnitus, ear pain, or dizziness. Audiometry confirmed a mixed, but principally conductive, hearing loss in the right ear. Otoscopy revealed amber-colored fluid behind an intact right eardrum. Serous otitis media was diagnosed and treated with intranasal corticosteroids. His symptoms recurred 5 months later, and a right myringotomy was performed. He continued to report slightly "muffled" hearing. Copyright © 2010 Massachusetts Medical Society.
引用
收藏
页码：1228 / 1233
页数：6
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