Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma
Introduction Otorhinolaryngologic manifestations account for almost 80% of the various manifestations of Human Immunodeficiency Virus (HIV) infection, of which Human Papilloma Virus (HPV) associated laryngeal papilloma and laryngeal malignancy are the most common pertaining to larynx. Case Repo...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2022-03-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://www.bjohns.in/journal3/index.php/bjohns/article/view/570 |
| _version_ | 1797282383322415104 |
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| author | Bharathi M B Rakesh B S Thanzeem Unisa Kavya S |
| author_facet | Bharathi M B Rakesh B S Thanzeem Unisa Kavya S |
| author_sort | Bharathi M B |
| collection | DOAJ |
| description |
Introduction
Otorhinolaryngologic manifestations account for almost 80% of the various manifestations of Human Immunodeficiency Virus (HIV) infection, of which Human Papilloma Virus (HPV) associated laryngeal papilloma and laryngeal malignancy are the most common pertaining to larynx.
Case Report
A 55year old male patient on Antiretroviral treatment since 10 years who was a chronic smoker, presented with difficulty in breathing and hoarseness of voice. Flexible laryngoscopy revealed a white, horny, wide based keratotic lesion completely covering rima glottidis resulting in obstruction of airway and stridor. Tracheostomy was done followed by endoscopic excision of the lesion. Histopathologic examination showed features of hyperkeratotic papilloma and lesion was tested negative for HPV.
Discussion
We report this case to emphasize on the differential diagnosis of laryngeal papillomatous lesion. A hyperkeratotic papilloma, with a dual aetiology of retroviral disease and smoking, presenting with stridor, the lesion being negative for HPV infection makes it uncommon from other laryngeal lesions.
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| first_indexed | 2024-03-07T17:12:08Z |
| format | Article |
| id | doaj.art-b5c09826622c4779856397789b408f45 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:12:08Z |
| publishDate | 2022-03-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-b5c09826622c4779856397789b408f452024-03-03T00:51:49ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072022-03-0129310.47210/bjohns.2021.v29i3.570Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal PapillomaBharathi M B0Rakesh B S1Thanzeem Unisa2Kavya S3Professor, Department of ENT,Head and Neck Surgery, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka - 570004, IndiaAssistant Professor, Department of ENT,Head and Neck Surgery,JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka - 570004, IndiaSenior Resident, Department of ENT,Head and Neck Surgery, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka - 570004, IndiaJunior Resident, Department of ENT,Head and Neck Surgery,JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka - 570004, India Introduction Otorhinolaryngologic manifestations account for almost 80% of the various manifestations of Human Immunodeficiency Virus (HIV) infection, of which Human Papilloma Virus (HPV) associated laryngeal papilloma and laryngeal malignancy are the most common pertaining to larynx. Case Report A 55year old male patient on Antiretroviral treatment since 10 years who was a chronic smoker, presented with difficulty in breathing and hoarseness of voice. Flexible laryngoscopy revealed a white, horny, wide based keratotic lesion completely covering rima glottidis resulting in obstruction of airway and stridor. Tracheostomy was done followed by endoscopic excision of the lesion. Histopathologic examination showed features of hyperkeratotic papilloma and lesion was tested negative for HPV. Discussion We report this case to emphasize on the differential diagnosis of laryngeal papillomatous lesion. A hyperkeratotic papilloma, with a dual aetiology of retroviral disease and smoking, presenting with stridor, the lesion being negative for HPV infection makes it uncommon from other laryngeal lesions. https://www.bjohns.in/journal3/index.php/bjohns/article/view/570Papilloma, HyperkeratoticLarynxHIVSmoking |
| spellingShingle | Bharathi M B Rakesh B S Thanzeem Unisa Kavya S Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma Bengal Journal of Otolaryngology and Head Neck Surgery Papilloma, Hyperkeratotic Larynx HIV Smoking |
| title | Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma |
| title_full | Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma |
| title_fullStr | Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma |
| title_full_unstemmed | Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma |
| title_short | Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma |
| title_sort | retroviral disease and smoking a sinister combination causing hyperkeratotic laryngeal papilloma |
| topic | Papilloma, Hyperkeratotic Larynx HIV Smoking |
| url | https://www.bjohns.in/journal3/index.php/bjohns/article/view/570 |
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