Vocal Folds: An Unusual Hideout for Systemic Sarcoidosis

International Journal of Medical and Pharmaceutical Case Reports

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Title Vocal Folds: An Unusual Hideout for Systemic Sarcoidosis
 
Creator Hariz, Anis
Derbel, Abir
Kechaou, Ines
Boukhris, Imène
Salah Hamdi, Mohamed
Cherif, Eya
 
Description Sarcoidosis is a chronic inflammatory granulomatous disease of unknown etiology. It can expand to all organs and tissues. Lungs and lymph nodes are the most commonly involved tissues. Laryngeal sarcoidosis is rare, accounting for no more than 1% of patients with systemic sarcoidosis. We herein report the case of a 51-year-old female presenting a two-year history of persistent voice hoarseness with direct laryngoscopy findings of epiglottis swelling and irregular swelled and bruised left vocal fold. Histological examination highlighted the presence of non-caseating granulomas. Further investigations revealed similar histological findings in the nasal cavity as well as lymphocytic alveolitis. It also showed the presence of phalangeal bone lesions of both hands. All these pointed to the diagnosis of sarcoidosis with upper respiratory tract (nasal and laryngeal), lung and bone involvement. The patient was started on 0.5 mg/kg daily of prednisone for 1 month followed by progressive tapering with lasting favorable outcome.
 
Publisher SCIENCEDOMAIN international
 
Date 2019-11-04
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier http://journalijmpcr.com/index.php/IJMPCR/article/view/30106
10.9734/ijmpcr/2019/v12i330106
 
Source International Journal of Medical and Pharmaceutical Case Reports; 2019 - Volume 12 [Issue 3]; 1-6
2394-109X
 
Language eng
 
Relation http://journalijmpcr.com/index.php/IJMPCR/article/view/30106/56486
http://journalijmpcr.com/index.php/IJMPCR/article/view/30106/56487
 
Rights Copyright (c) 2019 © 2019 Hariz et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

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