Rose等(1957)将多动脉炎分为两类:伴有肺部疾病者及不伴有肺部疾病者;前者又分为伴Wegener氏肉芽肿病者和伴Churg-Strauss综合征(气喘、变应性鼻炎及全身性脉管炎)者。本文报告的3例全身性脉管炎患者不伴有肉芽肿形成,但有明显的耳鼻喉科表现。例1为53岁女性,因肌痛、无力、厌食及体重下降2周继有严重眩晕、恶心、呕吐、双侧耳鸣及右耳听力下降就诊。发病前数周已有发烧、鼻塞和鼻衄。检查有垂直性眼震。X线胸片示两肺大量散在性阴影,鼻窦片示左窦腔粘膜增厚。肾活检提示结节性多动脉炎。经强的松及硫唑嘌呤治疗后,症状 Rose et al. (1957) classify polyarteritis into two groups: those with and without lung disease; the former is divided into patients with Wegener’s granulomatosis and those with Churg-Strauss syndrome (asthma, Allergic rhinitis and systemic vasculitis) who. Three cases of systemic vasculitis reported in this paper are not associated with granuloma formation, but have significant ENT performance. Example 1 A 53-year-old woman presented with severe dizziness, nausea, vomiting, bilateral tinnitus, and decreased right ear hearing after 2 weeks of myalgia, weakness, anorexia and weight loss. A few weeks before the onset of fever, nasal congestion and epistaxis. Check the vertical nystagmus. X-ray showed a large number of scattered lungs in both the shadow of the sinus film shows left sinus mucosa thickening. Renal biopsy suggests polyarteritis nodosa. After prednisone and azathioprine treatment, the symptoms