Saigo Kanako, Tsunoda Atsunobu, Ikeda Yuri, Nojima Masaki, Matsumoto Toshiharu
Otolaryngology - Head and Neck Surgery, Juntendo University, Nerima Hospital, Tokyo, JPN.
Dermatology, Juntendo University, Nerima Hospital, Tokyo, JPN.
Cureus. 2025 Jul 10;17(7):e87684. doi: 10.7759/cureus.87684. eCollection 2025 Jul.
We report the case of a 17-year-old female patient who was referred to our department for acute dyspnea. She had noticed erythema all over her body and suddenly noticed severe hoarseness, cough, and wheezing three days before her presentation. Fiberscopy revealed subglottic swelling and aphthae. Subglottitis was diagnosed and intravenous corticosteroids and antibiotics were administered. Subsequently, oral ulcers, genital ulcers, and systemic papules were noted. Histologic examination of the skin suggested Behçet's disease. Behçet's disease is an inflammatory disorder that can affect multiple areas of the body, including the mucous membranes of the mouth and genital region, eyes, skin, and joints. To our knowledge, acute dyspnea due to subglottitis has never been reported in patients with Behçet's disease.
我们报告了一名17岁女性患者的病例，该患者因急性呼吸困难被转诊至我科。她注意到全身出现红斑，并在就诊前三天突然出现严重声音嘶哑、咳嗽和喘息。纤维喉镜检查显示声门下肿胀和口疮。诊断为声门下炎，并给予静脉注射皮质类固醇和抗生素治疗。随后，发现口腔溃疡、生殖器溃疡和全身性丘疹。皮肤组织学检查提示为白塞病。白塞病是一种炎症性疾病，可影响身体的多个部位，包括口腔和生殖器区域的黏膜、眼睛、皮肤和关节。据我们所知，白塞病患者因声门下炎导致急性呼吸困难的情况从未有过报道。
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