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一名年轻男性孤立性喉结节病的罕见表现。

Uncommon presentation of isolated laryngeal sarcoidosis in a young man.

作者信息

Besharah Bayan O, Mujahed Revan A, AlKaf Haddad H, Abdelmonim Sherif K, Mohamed Ali Aboloyoun, Alsulami Hasheema, Al-Essa Mohammad A

机构信息

ORL-H&N Resident PGY5, Head, Neck and Skull Base Health Center, King Abdullah Medical City Hospital, Mecca, 21955, Saudi Arabia.

King Abdullah Medical City Hospital, Mecca, 21955, Saudi Arabia.

出版信息

Ann Med Surg (Lond). 2022 Jul 31;80:104216. doi: 10.1016/j.amsu.2022.104216. eCollection 2022 Aug.

DOI:10.1016/j.amsu.2022.104216
PMID:36045853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9422221/
Abstract

•Sarcoidosis is a chronic multisystemic granulomatous disease with unknown etiology.•Sarcoidosis affects the head and neck region in only 10%-15% of cases.•Larynx with turban-like thickening should raise high suspicions of laryngeal sarcoidosis.•Sarcoidosis is diagnosed after laboratory, endoscopic, and histopathology findings exclude other differentials.•Isolated laryngeal sarcoidosis is rare, making early diagnosis challenging and rising misdiagnosis.

摘要

•结节病是一种病因不明的慢性多系统肉芽肿性疾病。

•结节病仅在10%-15%的病例中累及头颈部区域。

•出现头巾样增厚的喉部应高度怀疑为喉结节病。

•在实验室、内镜及组织病理学检查结果排除其他鉴别诊断后,方可诊断结节病。

•孤立性喉结节病罕见,这使得早期诊断具有挑战性,误诊率也较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2628/9422221/4dbfedb32192/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2628/9422221/87d3d3f29e43/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2628/9422221/4dbfedb32192/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2628/9422221/87d3d3f29e43/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2628/9422221/4dbfedb32192/gr2.jpg

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Progressive Upper Airway Obstruction and Dysphagia in a Child With Supraglottic Edema.一名患有声门上水肿儿童的进行性上气道梗阻和吞咽困难
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Treatment-recalcitrant laryngeal sarcoidosis responsive to sirolimus.
对西罗莫司治疗抵抗的喉结节病有效。
BMJ Case Rep. 2020 Aug 26;13(8):e235372. doi: 10.1136/bcr-2020-235372.
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Efficacy and safety of infliximab therapy in refractory upper respiratory tract sarcoidosis: experience from the STAT registry.英夫利昔单抗治疗难治性上呼吸道结节病的疗效和安全性:来自STAT注册研究的经验
Sarcoidosis Vasc Diffuse Lung Dis. 2017;34(4):343-351. doi: 10.36141/svdld.v34i4.5817. Epub 2017 Apr 28.
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Supraglottic laryngeal sarcoidosis masquerading as supraglottitis.伪装成会厌炎的声门上型喉结节病
BMJ Case Rep. 2020 Jan 13;13(1):e232369. doi: 10.1136/bcr-2019-232369.
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Isolated laryngeal sarcoidosis.孤立性喉结节病
Respirol Case Rep. 2019 Nov 17;8(1):e00502. doi: 10.1002/rcr2.502. eCollection 2020 Jan.
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Sinonasal and Laryngeal Sarcoidosis-An Uncommon Presentation and Management Challenge.鼻窦和喉部结节病——一种不常见的表现和管理挑战。
Am J Med Sci. 2019 Feb;357(2):93-102. doi: 10.1016/j.amjms.2018.11.007. Epub 2018 Nov 22.
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Sarcoidosis Presenting as Bilateral Vocal Fold Immobility.以双侧声带固定为表现的结节病
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