喉软骨膜炎：意料之外的诊断。
laryngeal perichondritis: unexpected diagnosis.
机构信息
Department of Otorhinolaryngology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Department of Radiology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
出版信息
BMJ Case Rep. 2020 Dec 22;13(12):e237129. doi: 10.1136/bcr-2020-237129.
A 57-year-old male chronic smoker with underlying diabetes mellitus presented with dysphonia associated with cough, dysphagia and reduced effort tolerance of 3 months' duration. Videoendoscope finding revealed bilateral polypoidal and erythematous true and false vocal fold with small glottic airway. The patient was initially treated as having tuberculous laryngitis and started on antituberculous drug. However, no improvement was observed. CT of the neck showed erosion of thyroid cartilage, which points to laryngeal carcinoma as a differential diagnosis. However, the erosion was more diffuse and appeared systemic in origin. The diagnosis of laryngeal perichondritis was made when the histopathological examination revealed features of inflammation, and the tracheal aspirate isolated The patient made a good recovery following treatment with oral ciprofloxacin.
一位 57 岁的男性慢性吸烟者，患有糖尿病，出现声音嘶哑，伴有咳嗽、吞咽困难和呼吸困难，持续时间为 3 个月。视频内镜检查发现双侧息肉样和红斑状真性和假性声带，小声门气道。患者最初被诊断为结核性喉炎，并开始接受抗结核药物治疗。然而，没有观察到改善。颈部 CT 显示甲状软骨侵蚀，提示喉癌为鉴别诊断。然而，侵蚀更为弥漫，似乎起源于全身。当组织病理学检查显示炎症特征时，诊断为喉软骨膜炎，气管吸出物分离出 患者在口服环丙沙星治疗后恢复良好。
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