Szyfter Witold, Wierzbicka Małgorzata, Bem Grazyna
Klinika Otolaryngologii i Onkologii Laryngologicznej AM w Poznaniu.
Otolaryngol Pol. 2006;60(1):67-70.
The unique case of xantoma disseminatum with laryngological symptoms is presented. The 64 year old female patient was admitted to ENT Department University of Medical Sciences in Poznan, Poland, because of severe dyspnoe. Xantoma progressed for five years, affectin both the skin and laryngo-pharyngeal mucosa. Numerous skin lesions, yellowish and brown spots in the nuchal region and nosolabial area have been observed for 4 years. As well, patient was under control for moderate anemia. In the ENT examination subglottic stenosis was stated in indirect and direct laryngoscopy. The mucosal scars in the mesopharynx were observed with no impairment of swallowing. The general status improved after conservative, pharmacological treatment (Encorton, Amlopin). The patient is still under control, the laryngeal stenosis is stable.
本文报告了一例伴有喉科症状的播散性黄瘤的独特病例。该64岁女性患者因严重呼吸困难入住波兰波兹南医科大学耳鼻喉科。黄瘤进展了五年，累及皮肤和喉咽黏膜。四年来，在颈部和鼻唇区域观察到许多皮肤病变，呈淡黄色和棕色斑点。此外，患者因中度贫血接受治疗。在耳鼻喉科检查中，间接喉镜和直接喉镜检查均显示声门下狭窄。在中咽部观察到黏膜瘢痕，但吞咽功能未受损害。经过保守的药物治疗（恩考特龙、氨氯地平）后，患者的一般状况有所改善。患者仍在接受观察，喉狭窄情况稳定。
