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Scleroma of the upper respiratory passages: a CT study

Published online by Cambridge University Press:  29 June 2007

S. G. Abou-Seif ,
F. A. Baky ,
F. El-Ebrashy  and
H. A. Gaafar
S. G. Abou-Seif*
Affiliation:
Department of Radiology, Faculty of Medicine, Alexandria University, Egypt
F. A. Baky
Affiliation:
Department of otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt.
F. El-Ebrashy
Affiliation:
Department of otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt.
H. A. Gaafar
Affiliation:
Department of otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt.
*
Dr Shadia G. Abou-Seif, Ass. Professor Radiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
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Abstract

Scleroma is a chronic specific granulomatous disease endemic in Egypt. The nasal cavities were all affected in the 37 patients examined. The paranasal sinuses and nasopharynx were involved in 17 patients, while the larynx and upper trachea were affected in five patients, four of whom were females. Twenty-three patients were in the granulomatous stage; the rest of the patients were in the atrophic and fibrotic stages.

The main nasal and nasopharyngeal CT findings were soft tissue masses of variable sizes. The lesions were characteristically homogeneous, non-enhancing and had distinct edge definition; adjacent fascial planes were not invaded. The subglottic area was involved in laryngeal and tracheal scleroma. The lesions were mainly in the form of concentric irregular narrowing of the airway. In the trachea, crypt-like irregularities were diagnostic of scleroma. Intra-orbital, intra-cranial and infratemporal parapharyngeal scleromatous masses were detected inone patient.

Keywords

ScieromaRadiographycomputerised tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 3 , March 1991 , pp. 198 - 202
Copyright
Copyright © JLO (1984) Limited 1991

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