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DOI: 10.1055/s-0038-1640741
Vocal cord palsy secondary to sarcoidosis – case report
Introduction:
Sarcoidosis is a chronic multisystem disease of undetermined aetiology that involves mainly the lung. We describe a rare case of recurrent laryngeal nerve neuritis secondary to sarcoidosis.
Methods:
A 35-year-old man presented with persistent dysphonia for last 5 – 6 days before ENT exam. This was his first episode of dysphonia with no reports of laryngeal trauma. Fibre-optic laryngoscopy revealed a normal nasal passage, nasopharynx and pharynx.
Results:
The supraglottic structures were all unremarkable; however, inspection of the true vocal cords revealed a left vocal cord palsy that was identified as being in a paramedian position. He has no any other clinical signs. Blood test are normal, and x-ray also, radiological investigation (CT scan) showed mediastinal adenopathy that measured up to 20 mm. Histological examination showed granulomatous lymphadenitis of the lymph node with a central area of sclerosis surrounded by discrete, non-caseating granuloma. The morphological features were suggestive of sarcoidosis.
Conclusions:
The diagnosis was based on clinical information, radiology, histopathology and laboratory tests. The treatment is systemic corticosteroids.
Publication History
Publication Date:
18 April 2018 (online)
© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York