Abstract

MERCE, Aixa Lucia; MAMANI ORTEGA, María Lourdes; BEJARANO, Vanesa Marisel  and  SECCO, Anastasia. Orbito-nasal fistula, a therapeutic challenge against an infrequent manifestation in granulomatosis with polyangiitis. Rev. argent. reumatolg. [online]. 2022, vol.33, n.3, pp.158-161. ISSN 0327-4411.  http://dx.doi.org/10.47196/rar.v33i3.661.

Granulomatosis with polyangiitis (GPA) is a clinical-pathological condition that presents with granulomatous inflammation of the upper and lower respiratory tract, focal necrotizing glomerulonephritis and necrotizing vasculitis of small and medium-sized vessels (capillaries, venules, arterioles and arteries). Orbital GPA involvement ranging from 7-45%. The lacrimal gland can occasionally be affected in isolation and be the initial manifestation of the disease. We present the case of a patient with GPA and nasolacrimal fistula.

Keywords : granulomatosis with polyangiitis; orbito-nasal fistula; corneal erosion; nasal septum perforation.

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