Jol J A, van Deelen G W, Dinant H J
Ziekenhuis De Heel, afd. Chirurgie, Zaandam.
Ned Tijdschr Geneeskd. 1997 Aug 9;141(32):1567-70.
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.
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。
