Abstract
A 68-year-old man was admitted to our hospital due to repeated hoarseness. He had experienced hoarseness three years earlier due to left recurrent nerve paralysis of unknown etiology, but it disappeared spontaneously. This time, he showed left recurrent nerve paralysis with an abnormal shadow in his left upper lung region on chest radiograph. Chest computed tomography revealed a total of 6 nodules, around 11 to 26 mm in diameter, with some showing evacuated regions, distributed in the right lower and left upper lobes. The patient underwent left upper lobectomy to establish a definite diagnosis and for further treatment. Pathological analysis revealed granulomatous inflammation and necrotic vasculitis compatible with typical Wegener's granulomatosis. Hoarseness due to recurrent nerve paralysis is extremely rare as a symptom of Wegener's granulomatosis, and the spontaneous disappearance of the symptom has rarely been reported. This report describes a case of Wegener's granulomatosis who presented with repeated hoarseness due to left recurrent nerve paralysis.
