竹节样指作为一种自身免疫性疾病的喉部表现。病例系列。

Bamboo Nodes as an Autoimmune Disease Laryngeal Manifestation. Case Series.

机构信息

Otolaryngology Department Pontificia Universidad Católica de Chile. Diagonal Paraguay 362, 7º piso, Edificio Académico, Dpto. Otorrinolaringología, Facultad de Medicina, Pontificia Universidad Católica de Chile. Santiago Centro, Santiago, Chile.

出版信息

J Voice. 2023 Jul;37(4):636.e1-636.e5. doi: 10.1016/j.jvoice.2021.02.020. Epub 2021 Mar 17.

DOI:10.1016/j.jvoice.2021.02.020

PMID:33744067

Abstract

INTRODUCTION

Bamboo nodes are transverse creamy-yellow subepithelial nodes in the vocal folds (VF) midpoint, usually bilateral, resembling a bamboo stem. They appear almost exclusively in females, and are associated with underlying autoimmune diseases.

CASE SUMMARY

Six female patients, 45.5 years median age, with underlying autoimmune diseases, consulted due to dysphonia. The laryngeal stroboscopy showed bilateral VF bamboo nodes in four patients, and unilateral in the remaining two. VF mobility was normal in all patients, while the mucosal wave was impaired in four of them. Treatment with speech therapy and proton pump inhibitors was indicated. All the patients were referred for rheumatologic evaluation and immunosuppressive treatment optimization. Follow-up in five patients showed vocal function self-perception and GRBAS scores improvement.

DISCUSSION

VF bamboo nodes are an infrequent cause for dysphonia, associated with phonotrauma and autoimmune diseases. Speech therapy and a rheumatologic workup must be indicated, for immunosuppressive treatment enhancement.

摘要

简介

声带中点的竹节状结节是位于声带黏膜下的横向奶油黄色小结节，通常为双侧，类似竹茎。它们几乎仅出现在女性中，与潜在的自身免疫性疾病相关。

病例总结

六名女性患者，中位年龄 45.5 岁，患有潜在的自身免疫性疾病，因声音嘶哑就诊。频闪喉镜检查显示四名患者的双侧声带出现竹节状结节，另外两名患者为单侧。所有患者的声带活动均正常，但其中四人的黏膜波受损。建议进行言语治疗和质子泵抑制剂治疗。所有患者均被转介至风湿科进行评估，并优化免疫抑制治疗。对五名患者的随访显示，嗓音功能自我感知和 GRBAS 评分有所改善。