ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW
Introduction. Cricoarytenoid arthritis in rheumatoid arthritis (RA) is not infrequent and symptoms can range from mild, nonspecific laryngeal complains to acute upper airway obstruction. Case report. We report a case of bilateral vocal cord palsy due to cricoarytenoid joint (CAJ) involvement in a...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2018-03-01
|
| Series: | Romanian Journal of Rheumatology |
| Subjects: | |
| Online Access: | https://revistemedicale.amaltea.ro/Romanian_Journal_of_RHEUMATOLOGY/Revista_Romana_de_REUMATOLOGIE-2018-Nr.1/RJR_2018_1_Art-06.pdf |
| _version_ | 1818390951055327232 |
|---|---|
| author | Iulia Szabo Cristina Tiple Magdalena Chirila Simona Rednic |
| author_facet | Iulia Szabo Cristina Tiple Magdalena Chirila Simona Rednic |
| author_sort | Iulia Szabo |
| collection | DOAJ |
| description | Introduction. Cricoarytenoid arthritis in rheumatoid arthritis (RA) is not infrequent and symptoms can range from
mild, nonspecific laryngeal complains to acute upper airway obstruction.
Case report. We report a case of bilateral vocal cord palsy due to cricoarytenoid joint (CAJ) involvement in a RA
patient presenting with respiratory distress and stridor. The diagnosis was confirmed by flexible laryngoscopy. The patient responded well to systemic corticosteroids and did not require tracheostomy. There was no recurrence of the symptoms after corticosteroid dose tapering and the patient was discharged after 2 weeks.
Conclusion. Cricoarytenoid arthritis should be suspected in RA patients presenting with acute airway compromise. Prompt recognition of this condition and appropriate management can be life-saving. |
| first_indexed | 2024-12-14T05:05:47Z |
| format | Article |
| id | doaj.art-5a535c904d284a63b1c9d69179005bde |
| institution | Directory Open Access Journal |
| issn | 1843-0791 2069-6086 |
| language | English |
| last_indexed | 2024-12-14T05:05:47Z |
| publishDate | 2018-03-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Rheumatology |
| spelling | doaj.art-5a535c904d284a63b1c9d69179005bde2022-12-21T23:16:07ZengAmaltea Medical Publishing HouseRomanian Journal of Rheumatology1843-07912069-60862018-03-01271374110.37897/RJR.2018.1.6ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEWIulia Szabo0Cristina Tiple1Magdalena Chirila2Simona Rednic3Rheumatology Department, Emergency Clinical County Hospital, Cluj-NapocaENT Department, Emergency County Hospital, Cluj-NapocaENT Department, Emergency County Hospital, Cluj-Napoca; ENT Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-NapocaRheumatology Department, Emergency Clinical County Hospital, Cluj-Napoca; Rheumatology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-NapocaIntroduction. Cricoarytenoid arthritis in rheumatoid arthritis (RA) is not infrequent and symptoms can range from mild, nonspecific laryngeal complains to acute upper airway obstruction. Case report. We report a case of bilateral vocal cord palsy due to cricoarytenoid joint (CAJ) involvement in a RA patient presenting with respiratory distress and stridor. The diagnosis was confirmed by flexible laryngoscopy. The patient responded well to systemic corticosteroids and did not require tracheostomy. There was no recurrence of the symptoms after corticosteroid dose tapering and the patient was discharged after 2 weeks. Conclusion. Cricoarytenoid arthritis should be suspected in RA patients presenting with acute airway compromise. Prompt recognition of this condition and appropriate management can be life-saving.https://revistemedicale.amaltea.ro/Romanian_Journal_of_RHEUMATOLOGY/Revista_Romana_de_REUMATOLOGIE-2018-Nr.1/RJR_2018_1_Art-06.pdfcricoarytenoid arthritisrheumatoid arthritisairway obstruction |
| spellingShingle | Iulia Szabo Cristina Tiple Magdalena Chirila Simona Rednic ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW Romanian Journal of Rheumatology cricoarytenoid arthritis rheumatoid arthritis airway obstruction |
| title | ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW |
| title_full | ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW |
| title_fullStr | ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW |
| title_full_unstemmed | ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW |
| title_short | ACUTE UPPER AIRWAY OBSTRUCTION IN RHEUMATOID ARTHRITIS: CASE REPORT AND LITERATURE REVIEW |
| title_sort | acute upper airway obstruction in rheumatoid arthritis case report and literature review |
| topic | cricoarytenoid arthritis rheumatoid arthritis airway obstruction |
| url | https://revistemedicale.amaltea.ro/Romanian_Journal_of_RHEUMATOLOGY/Revista_Romana_de_REUMATOLOGIE-2018-Nr.1/RJR_2018_1_Art-06.pdf |
| work_keys_str_mv | AT iuliaszabo acuteupperairwayobstructioninrheumatoidarthritiscasereportandliteraturereview AT cristinatiple acuteupperairwayobstructioninrheumatoidarthritiscasereportandliteraturereview AT magdalenachirila acuteupperairwayobstructioninrheumatoidarthritiscasereportandliteraturereview AT simonarednic acuteupperairwayobstructioninrheumatoidarthritiscasereportandliteraturereview |