Which head and neck findings are characteristic of vasculitis?

Updated: Dec 10, 2018
  • Author: Nadia Jennifer Chiara Luca, MD; Chief Editor: Lawrence K Jung, MD  more...
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Answer

Funduscopy and ophthalmologic assessment for conjunctivitis, uveitis, scleritis and/or retinal vasculitis, and optic neuritis is indicated. Orbital inflammation (lid edema/erythema, proptosis) may be seen in granulomatosis with polyangiitis and microscopic polyangiitis. [24]

Inspection of nasal cavity for bleeding, ulceration, and septal perforation is indicated.

Other findings may include the following:

  • Nasal bridge swelling, pain or saddle-nose deformity (See the image below.)

    Patient with Wegener granulomatosis and saddle-nos Patient with Wegener granulomatosis and saddle-nose deformity.
  • Paranasal sinus tenderness

  • Cervical lymphadenopathy

  • Oral ulcers seen in Behçet disease

  • Otitis, mastoiditis, hearing loss


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