Hermans C, Manocha S, McLaughlin J E, Lipman M, Lee C A
Department of Haematology, Haemostasis and Thrombosis Unit, Cliniques universitaires Saint-Luc, Catholic University of Louvain, Brussels, Belgium.
Haemophilia. 2005 Sep;11(5):548-51. doi: 10.1111/j.1365-2516.2005.01140.x.
Compression and paralysis of the left recurrent laryngeal nerve by a dilated pulmonary artery is a rare complication of pulmonary hypertension. We here report the case of a patient with severe haemophilia A and HIV infection who presented with a persistent hoarseness of voice and a left vocal cord palsy caused by HIV-associated pulmonary hypertension. This case suggests that HIV-associated pulmonary hypertension should be suspected in any HIV patient presenting with unexplained left vocal cord palsy.
扩张的肺动脉压迫左喉返神经是肺动脉高压的一种罕见并发症。我们在此报告一例患有重度甲型血友病和HIV感染的患者，该患者因HIV相关的肺动脉高压出现持续声音嘶哑和左侧声带麻痹。该病例提示，任何出现不明原因左侧声带麻痹的HIV患者都应怀疑患有HIV相关的肺动脉高压。
