ENT MANIFESTATIONS

OF SYSTEMIC DISEASES
DR SURESH
IInd YEAR ENT PG
VMCH, MADURAI
 DIABETES MELLITUS

EAR
1. Sensineural hearing loss
2. Malignant otitis externa/ Skull base osteomyelitis
- Pseudomonas aeruginosa

Nose:
3. Atrophic Rhinitis
4. Fungal Sinusitis

Throat:
5. Oral thrush / candidiasis
SYSTEMIC HYPERTENSION
 TUBERCULOSIS

1.Tuberculous mastoiditis
- Eustachian tubeMiddle ear
Mastoditis

2. Postaural abscess

3. TB lymphadenitis/ Abscess.
 LEPROSY

1. Leonine facies
2. Sensory neural hearing loss
 SYSTEMIC VASCULITIS

1. WEGNERS GRANULOMATOSIS now called GPA

Systemic small vessel vasculitis

Glomerulonephritis

ENT
Initially Rhinosinusitis
Advanced cases
Thick purulent nasal discharge, destruction of nasal septum
Recurrent otitis media

C- ANCA and PR-3 positive.

Rx
Steroids
Cyclophosphamide
2. CHURH STRAUSS SYNDROME now called EGPA

Systemic small vessel vasculitis

ENT

Allergic rhinitis
Nasal polyps
Recurrent epistaxis.
Eosinophilic granuloma of nose

P- ANCA positive

Steroids
Cyclophosphamide.