Ezcurra Hernández P, Albertí i Casas A, Figuerola Massana E, Blázquez Vilá S, Sempere Durán T, Pellicer Garrido F, Risco Arenas J
Servicio de Otorrinolaringología, Hospital Universitari Joan XXIII, Tarragona.
Acta Otorrinolaringol Esp. 2003 Feb;54(2):117-20. doi: 10.1016/s0001-6519(03)78393-9.
Sarcoidosis is a chronic multisystemic granulomatosis of unknown etiology that affects mainly young adults. It characterized by bilateral hiliar adenopathies interstitial pulmonary infiltrate, and cutaneous and ocular lesions. Localization in upper respiratory tract is infrequent. In the present report we describe a 26-year-old male with a three-month history of a globus sensation, hoarse voice, loud snoring and obstructive sleep apnoea, because of a laryngeal noncaseating granulomatous infiltration. The diagnosis is made through the history, the radiology and the pathological examination. Treatment is symptomatic, due to its tendency to a spontaneous regression. The treatment is based on corticosteroids by systemic or aerosol routes. Micro surgical excision and tracheotomy may be useful in selected patients.
