Herlow Louise Buchreitz, Rasmussen Niels
Hillerød Hospital, Ørenaese-hals-afdeling C, Denmark.
Ugeskr Laeger. 2010 Nov 8;172(45):3116-7.
Sarcoidosis is a chronic granulomatous disease of unknown pathogenesis. It can affect numerous organs but most commonly involves the respiratory tract. On rare occasions it only involves the larynx. We describe a case of isolated laryngeal sarcoidosis in a teenage girl with symptoms of hoarseness, snoring and dyspnoea. The diagnosis was supported by detection of granulomatous inflammation in a laryngeal biopsy. She was successfully treated by surgical excision of the granulomatous swellings of the arytenoids and epiglottis combined with inhaled corticosteroids.
结节病是一种发病机制不明的慢性肉芽肿性疾病。它可累及多个器官，但最常累及呼吸道。极少数情况下，它仅累及喉部。我们描述了一例青少年女性孤立性喉结节病的病例，该患者有声音嘶哑、打鼾和呼吸困难的症状。喉活检发现肉芽肿性炎症支持了诊断。通过手术切除杓状软骨和会厌的肉芽肿性肿胀并联合吸入糖皮质激素，她得到了成功治疗。
