Ingegnoli Francesca, Galbiati Valentina, Bacciu Andrea, Zeni Silvana, Fantini Flavio
Department of Rheumatology, University of Milan, Istituto Gaetano Pini, Piazza Cardinal Ferrari, 20122 Milan, Italy.
Clin Rheumatol. 2007 Oct;26(10):1765-7. doi: 10.1007/s10067-006-0505-x. Epub 2007 Jan 18.
Bilateral vocal fold immobility (BVFI) can be the result of a primary disorder or as an iatrogenic complication of surgery or intubation. Laryngeal involvement can be a rare complication of connective tissue disorders and it usually occurs in association with other symptoms and signs that indicate active disease. We present a case of BVFI in a patient with an overlap syndrome rheumatoid arthritis/systemic sclerosis, referred to our division because of dysphonia and dyspnea. The video-laryngostroboscopy showed the presence of BVFI. Physical examination, blood tests, lung and neck high resolution computed tomography scans did not demonstrate significant abnormalities. She was treated with pulses of intravenous methylprednisolone with slow improvement.
双侧声带固定（BVFI）可能是原发性疾病的结果，也可能是手术或插管的医源性并发症。喉部受累可能是结缔组织疾病的罕见并发症，通常与其他表明疾病活动的症状和体征同时出现。我们报告一例重叠综合征类风湿关节炎/系统性硬化症患者出现BVFI的病例，该患者因声音嘶哑和呼吸困难转诊至我科。电子喉镜频闪检查显示存在BVFI。体格检查、血液检查、肺部和颈部高分辨率计算机断层扫描均未显示明显异常。她接受了静脉注射甲泼尼龙冲击治疗，病情逐渐好转。
