Hughes Michael, Hill Jason
Department of Neurology, King George Hospital, London, UK.
Mod Rheumatol. 2009;19(4):441-2. doi: 10.1007/s10165-009-0178-9. Epub 2009 May 21.
Left vocal cord palsy is a well-recognised rare complication of SLE. We encountered a gentleman who during an acute flare developed left vocal fold palsy (VCP). Immunosuppression was increased, but this only produced partial improvement. VCP is commonly but not exclusively caused by recurrent laryngeal nerve palsy. Other causes may affect phonation, including mucosal ulceration, vasculitis and pulmonary hypertension. There is limited literature on the diagnosis of and treatment options for VCP in SLE.
左侧声带麻痹是系统性红斑狼疮（SLE）一种公认的罕见并发症。我们遇到一位男士，在急性发作期间出现了左侧声带麻痹（VCP）。免疫抑制治疗加强，但仅产生了部分改善。VCP通常但并非仅由喉返神经麻痹引起。其他原因可能影响发声，包括黏膜溃疡、血管炎和肺动脉高压。关于SLE中VCP的诊断和治疗选择的文献有限。
