Isolated laryngeal sarcoidosis
To improve diagnosis and treatment of laryngeal sarcoidosis, we present a rare case of upper airway obstruction of unclear aetiology, with life‐threatening complication.The patient was a 19‐year boy who presented with progressive severe dyspnoea for eight months. After extensive diagnostic evaluatio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.502 |
| _version_ | 1818155367357480960 |
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| author | Aslan Ahmadi Fatemeh Dehghani Firouzabadi Mohammad Dehghani Firouzabadi Maryam Roomiani |
| author_facet | Aslan Ahmadi Fatemeh Dehghani Firouzabadi Mohammad Dehghani Firouzabadi Maryam Roomiani |
| author_sort | Aslan Ahmadi |
| collection | DOAJ |
| description | To improve diagnosis and treatment of laryngeal sarcoidosis, we present a rare case of upper airway obstruction of unclear aetiology, with life‐threatening complication.The patient was a 19‐year boy who presented with progressive severe dyspnoea for eight months. After extensive diagnostic evaluations with no conclusive diagnosis, biopsy showed non‐caseating granulomatous inflammation consistent with laryngeal sarcoidosis that was treated with a CO2 laser attached to a microscope. The laser was also used to resect epiglottitis, false focal cords, and aryepiglottic fold completely due to supraglottic swelling with a thick oedematous epiglottis. A 1.5‐ms pulse‐duration CO2 laser attached to a microscope is an effective technique of treating laryngeal sarcoidosis and preventing its hazardous complication. Beneficial effects of this method are not only an immediate improvement of the symptoms, but also this method decreases the need for long‐term medical therapy with its side effects or avoid tracheostomy due to upper airway obstruction. |
| first_indexed | 2024-12-11T14:41:17Z |
| format | Article |
| id | doaj.art-fb93f467260745d18c039ea5d72b7ace |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-11T14:41:17Z |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-fb93f467260745d18c039ea5d72b7ace2022-12-22T01:01:56ZengWileyRespirology Case Reports2051-33802020-01-0181n/an/a10.1002/rcr2.502Isolated laryngeal sarcoidosisAslan Ahmadi0Fatemeh Dehghani Firouzabadi1Mohammad Dehghani Firouzabadi2Maryam Roomiani3ENT and Head and Neck Research Center and Department Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences Tehran IranENT and Head and Neck Research Center and Department Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences Tehran IranENT and Head and Neck Research Center and Department Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences Tehran IranENT and Head and Neck Research Center and Department Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences Tehran IranTo improve diagnosis and treatment of laryngeal sarcoidosis, we present a rare case of upper airway obstruction of unclear aetiology, with life‐threatening complication.The patient was a 19‐year boy who presented with progressive severe dyspnoea for eight months. After extensive diagnostic evaluations with no conclusive diagnosis, biopsy showed non‐caseating granulomatous inflammation consistent with laryngeal sarcoidosis that was treated with a CO2 laser attached to a microscope. The laser was also used to resect epiglottitis, false focal cords, and aryepiglottic fold completely due to supraglottic swelling with a thick oedematous epiglottis. A 1.5‐ms pulse‐duration CO2 laser attached to a microscope is an effective technique of treating laryngeal sarcoidosis and preventing its hazardous complication. Beneficial effects of this method are not only an immediate improvement of the symptoms, but also this method decreases the need for long‐term medical therapy with its side effects or avoid tracheostomy due to upper airway obstruction.https://doi.org/10.1002/rcr2.502Airway obstructionCO2 laser therapylaryngeal sarcoidosis |
| spellingShingle | Aslan Ahmadi Fatemeh Dehghani Firouzabadi Mohammad Dehghani Firouzabadi Maryam Roomiani Isolated laryngeal sarcoidosis Respirology Case Reports Airway obstruction CO2 laser therapy laryngeal sarcoidosis |
| title | Isolated laryngeal sarcoidosis |
| title_full | Isolated laryngeal sarcoidosis |
| title_fullStr | Isolated laryngeal sarcoidosis |
| title_full_unstemmed | Isolated laryngeal sarcoidosis |
| title_short | Isolated laryngeal sarcoidosis |
| title_sort | isolated laryngeal sarcoidosis |
| topic | Airway obstruction CO2 laser therapy laryngeal sarcoidosis |
| url | https://doi.org/10.1002/rcr2.502 |
| work_keys_str_mv | AT aslanahmadi isolatedlaryngealsarcoidosis AT fatemehdehghanifirouzabadi isolatedlaryngealsarcoidosis AT mohammaddehghanifirouzabadi isolatedlaryngealsarcoidosis AT maryamroomiani isolatedlaryngealsarcoidosis |