1. Sarcoidosis with laryngeal and tracheal involvement.
- Author
-
King RB, Nassereddin AT, Chheda NN, and Robinson MD
- Subjects
- Humans, Female, Adult, Tomography, X-Ray Computed, Trachea pathology, Trachea diagnostic imaging, Sarcoidosis diagnosis, Sarcoidosis drug therapy, Sarcoidosis pathology, Laryngeal Diseases drug therapy, Laryngeal Diseases diagnosis, Laryngeal Diseases pathology, Laryngeal Diseases diagnostic imaging, Tracheal Diseases diagnosis, Tracheal Diseases diagnostic imaging, Tracheal Diseases pathology
- Abstract
A woman in her early 30s presented to her primary care physician's office with hoarseness, joint pain and facial swelling. The objective evaluation revealed elevated inflammatory markers and angiotensin-1-converting enzyme, a chest radiograph with bilateral hilar prominence and a maxillofacial CT scan with diffuse inflammation in the upper airway. Otolaryngology evaluation revealed exophytic lesions diffusely within the nasal cavity, base of tongue, supraglottis, glottis and trachea. A biopsy confirmed the diagnosis of sarcoidosis. She was treated with corticosteroids with improvement in upper and lower airway symptoms. She continued to experience other extrapulmonary manifestations of sarcoidosis requiring alternative immunosuppressant therapy. At 30 months from symptom onset, her disease was noted to be in remission., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2024
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