Chang Joseph, Yung Katherine C
School of Medicine, University of California, San Francisco, San Francisco, California, USA.
Department of Otolaryngology, University of California, San Francisco, San Francisco, California, USA
Ann Otol Rhinol Laryngol. 2014 Nov;123(11):769-70. doi: 10.1177/0003489414538400. Epub 2014 Jun 9.
This case report is the first documentation of dysphonia and vocal fold telangiectasia as a complication of hereditary hemorrhagic telangiectasia (HHT).
Case report of a 40-year-old man with HHT presenting with 2 years of worsening hoarseness.
Hoarseness corresponded with a period of anticoagulation. Endoscopy revealed vocal fold scarring, vocal fold telangiectasias, and plica ventricular is suggestive of previous submucosal vocal fold hemorrhage and subsequent counterproductive compensation with ventricular phonation.
Hereditary hemorrhagic telangiectasia may present as dysphonia with vocal fold telangiectasias and place patients at risk of vocal fold hemorrhage.
本病例报告首次记录了遗传性出血性毛细血管扩张症（HHT）的并发症——发音障碍和声带毛细血管扩张。
对一名40岁患有HHT的男性患者进行病例报告，该患者出现声音嘶哑加重2年。
声音嘶哑与一段抗凝期相对应。内镜检查显示声带瘢痕形成、声带毛细血管扩张以及室襞，提示既往存在声带黏膜下出血以及随后适得其反的室性发声代偿。
遗传性出血性毛细血管扩张症可能表现为伴有声带毛细血管扩张的发音障碍，并使患者面临声带出血的风险。
