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Hoarseness as the initial manifestation of systemic lupus erythematosus

Published online by Cambridge University Press:  29 June 2007

Koichi Tsunoda  and
Yasushi Soda
Koichi Tsunoda*
Affiliation:
Department of Otolaryngology, Nissan Tamagawa Hospital, Tokyo.
Yasushi Soda
Affiliation:
Department of Otolaryngology, Hitachi General Hospital, Ibaragi, Japan.
*
Address for correspondence: Dr Koichi Tsunoda, M.D., Chief, Department of Otolaryngology, Nissan Tamagawa Hospital, 4-8-1 Seta, Setagaya-ku, Tokyo, Japan. Fax: 81-3-3700-2090
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Abstract

A 51-year-old woman complained of hoarseness of two years duration. The patient's past medical history was significant for autoimmunological hepatitis and arthritis for which she had not received treatment. Laryngoscopy and laryngeal stroboscopy revealed ‘bamboo joint-like nodules’ on both true vocal folds. These nodules resembled rheumatoid nodules and were suggestive of a collagen disease. Previous reports have documented that the treatment for such conditions related to collagen diseases is surgical resection. However, we initially attempted to treat the laryngeal lesions systemically with prednisolone. The hoarseness and the bamboo-like nodules disappeared six months after the treatment. Furthermore, the liver function test returned to normal and arthritis completely resolved. Based on our patient's response to this treatment, we diagnosed atypical-SLE and a lupus laryngitis. This case suggests that studies of the larynx may be helpful in the early diagnosis of collagan diseases and that such conditions may respond to systemic treatment.

Keywords

Lupus erythematosus, systemicHoarsenessVocal folds
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 5 , May 1996 , pp. 478 - 479
Copyright
Copyright © JLO (1984) Limited 1996

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References

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