Periarteritis Nodosa and Bilateral Facial Paralysis

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Abstract
PERIARTERITIS nodosa is a pathological entity with which ear, nose, and throat doctors have little contact. There are however two diseases which have received some attention in our journals—midline lethal granuloma and Wegener's granulomatosis. These two bear a resemblance to periarteritis. Perhaps expressivity is the only basic difference between the three. The case presented here was at first thought to be one of these two respiratory granulomas. In the final stages of his illness the patient bore unmistakable signs of classical periarteritis nodosa. Report of a Case A 43-year-old man was admitted to The New York Eye and Ear Infirmary on Oct 30, 1964. This was the first and only admission for this Englishman who came to this country in August 1964. In the early part of August, while visiting relatives in Wisconsin, he began to develop fullness in his ears. He consulted a physician and was given antibiotics. He

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