Parotid gland involvement as a presenting feature of Wegener's granulomatosis.

e196 INTRODUCTION Wegener’s granulomatosis (WG) is a systemic disease characterised by necrotising granulomas that involve the upper and/or lower respiratory tract, with vasculitis in small arterioles and venules, and focal glomerulonephritis.(1) At onset, the disease is localised to a region without any systemic involvement. The head and neck are involved in nearly 90% of cases, while the respiratory tract, including the nose and paranasal sinuses, is usually the first site of WG.(2) The presenting symptoms of WG that involve the upper respiratory tract include epistaxis, sinusitis, saddle nose deformity, nasal obstruction, severe rhinorrhoea and necrotising lesions.(3) Other commonly involved sites of WG are the lungs and kidneys. In this case report, we present the case of a patient whose initial symptom involved the parotid gland.