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[类风湿关节炎中的咽痛:2例环杓关节炎患者]

[Sore throat in rheumatoid arthritis: 2 patients with cricoarytenoid arthritis].

作者信息

Jol J A, van Deelen G W, Dinant H J

机构信息

Ziekenhuis De Heel, afd. Chirurgie, Zaandam.

出版信息

Ned Tijdschr Geneeskd. 1997 Aug 9;141(32):1567-70.

PMID:9543752
Abstract

In two patients with chronic rheumatoid arthritis, a woman aged 65 and a man aged 56 years, cricoarytenoid arthritis was diagnosed. The symptoms were hoarseness, sore throat and stridor. In both patients a narrowed glottic fissure was found. In one patient tracheostomy was necessary to guarantee a free airway; in the other, therapy with local corticosteroid injections (triamcinolone), combined with immunosuppressive therapy (prednisone), was effective. Early detection through anamnesis and laryngoscopy allows early therapy with a good prognosis.

摘要

在两名慢性类风湿性关节炎患者中,一名65岁女性和一名56岁男性,被诊断为环杓关节炎。症状为声音嘶哑、喉咙痛和喘鸣。两名患者均发现声门裂狭窄。一名患者需要进行气管切开术以确保气道通畅;另一名患者局部注射皮质类固醇(曲安奈德)联合免疫抑制治疗(泼尼松)有效。通过问诊和喉镜检查进行早期检测可实现早期治疗,预后良好。

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