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长期吸入性类固醇治疗致声门上型喉念珠菌病酷似喉癌:病例报告及文献复习。

Laryngeal Candidiasis Mimicking Supraglottic Carcinoma by Prolonged Inhaled Steroid Therapy: A Case Report and Review of the Literature.

机构信息

Dipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, 9307Università Federico II, Napoli, Italy.

Dipartimento di Chirurgia Generale e Specialistica, Università "Luigi Vanvitelli" di Napoli, Napoli, Italy.

出版信息

Ear Nose Throat J. 2021 Sep;100(5_suppl):761S-765S. doi: 10.1177/0145561320907166. Epub 2020 Feb 28.

Abstract

Candidiasis is a rare entity reported as an isolated and primary laryngeal disease. In this condition, inhaled steroids were the single most common predisposing factor. Also mycotic infections of larynx are frequently seen in patients with immune insufficiency, although they have also been reported in individual with normal immune status. We report a case of isolated laryngeal Candidiasis in an immunocompetent individual, with an unusual presentation with exophytic lesion, edema, ulceration, white plaque, and pseudomembranous formation mimicking supraglottic carcinoma, to highlight the clinical of this condition and provide a review of the literature.

摘要

念珠菌病是一种罕见的疾病,作为一种孤立的、原发性的喉部疾病被报道。在这种情况下,吸入性类固醇是最常见的单一诱发因素。此外,喉部的真菌感染在免疫功能低下的患者中很常见,尽管也有报道称在免疫功能正常的个体中也会发生这种疾病。我们报告了一例免疫功能正常个体的孤立性喉念珠菌病,其表现为外生性病变、水肿、溃疡、白色斑块和假膜形成,类似于会厌癌,以强调这种疾病的临床特征,并对文献进行回顾。

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