Grijalba Uche M, López Cousillas A, Medina Sola J J, Saiz Calleja M A
Servicio de ORL, Hospital Virgen del Camino, Pamplona.
Acta Otorrinolaringol Esp. 1997 Apr;48(3):239-41.
A 74-year-old woman with a 4-month history of hoarseness had a granulomatous lesion of the vocal cords by laryngoscopy and a normal physical examination. Wegener's granulomatosis was confirmed by biopsy. Early treatment with trimethoprim-sulfamethoxazole prevented the evolution toward a more severe systemic form of the disease. The patient remains asymptomatic a year and a half after treatment.
一名74岁女性,声音嘶哑4个月,喉镜检查发现声带肉芽肿性病变,体格检查正常。活检确诊为韦格纳肉芽肿。早期使用复方新诺明治疗防止了疾病发展为更严重的全身形式。治疗后一年半,患者仍无症状。