Farah Chadi, Tabesh Ouidade Aitisha, Okais Jad, Hajjar Arlette, Haddad Amine
Otolaryngology - Head and Neck Surgery Department, Hotel Dieu de France University Hospital, Saint Joseph University, School of Medicine, Alfred Naccache Street, Achrafieh, Beirut, Lebanon.
Rheumatology Department, Hotel Dieu de France University Hospital, Saint Joseph University, School of Medicine, Beirut, Alfred Naccache Street, Achrafieh, Beirut, Lebanon.
Pan Afr Med J. 2020 Jun 9;36:74. doi: 10.11604/pamj.2020.36.74.18891. eCollection 2020.
Cricoarytenoid joint arthritis is most frequently reported in Rheumatoid Arthritis and in other systemic diseases such as Sjogren's syndrome, Systemic Lupus Erythematosus, Ankylosing Arthritis, Juvenile Chronic Arthritis, and autoimmune hepatitis but it has not been reported in dermatomyositis. In this paper, we report the case of a 43 years-old woman treated for dermatomyositis who presented with hoarseness and severe odynophagia. The laryngoscopy revealed the presence of an extensive white swelling of the left cricoarytenoid joint with reduced mobility of the left vocal cord, consistent with left cricoarytenoid joint arthritis, which has not previously been described in dermatomyositis to our knowledge. Treatment with high doses of prednisone produced a complete resolution of the laryngeal symptoms.
环杓关节关节炎在类风湿关节炎及其他系统性疾病如干燥综合征、系统性红斑狼疮、强直性脊柱炎、青少年慢性关节炎和自身免疫性肝炎中最为常见，但皮肌炎中尚未见报道。本文报告了1例43岁皮肌炎女性患者，出现声音嘶哑和严重吞咽痛。喉镜检查发现左侧环杓关节广泛白色肿胀，左侧声带活动度降低，符合左侧环杓关节关节炎，据我们所知，此前皮肌炎中未见此类描述。大剂量泼尼松治疗使喉部症状完全缓解。
