Bridger M W, Jahn A F, van Nostrand A W
Laryngoscope. 1980 Feb;90(2):296-303. doi: 10.1288/00005537-198002000-00015.
The classic sequence of pathologic changes associated with rheumatoid arthritis as they affect the cricothyroid and cricoarytenoid joints of five larynges is described. Although several previous reports have drawn attention to the presence of rheumatoid arthritis in the larnx, the current study emphasizes that the small joints of the larynx may be involved by the full spectrum of pathologic changes and that both cricothyroid and cricoarytenoid joints are equally prone to the various stages of inflammation, joint destruction and ankylosis that characterize the disease elsewhere. Rheumatoid nodules were seen in two cases and granulomatous areas surrounding cricothyroid joints were noted in two others.
描述了类风湿性关节炎累及五个喉部的环甲关节和环杓关节时相关的典型病理变化序列。尽管此前已有多篇报道关注到喉部存在类风湿性关节炎，但当前研究强调，喉部的小关节可能会出现该疾病所具有的全部病理变化，而且环甲关节和环杓关节同样容易经历炎症、关节破坏和关节强直的各个阶段，而这些正是该疾病在其他部位的特征表现。在两例中发现了类风湿结节，在另外两例中注意到环甲关节周围有肉芽肿区域。
