Bilateral vocal fold immobility (BVFI) can be the result of a primary disorder or as an iatrogenic complication of surgery or intubation. Laryngeal involvement can be a rare complication of connective tissue disorders and it usually occurs in association with other symptoms and signs that indicate active disease. We present a case of BVFI in a patient with an overlap syndrome rheumatoid arthritis/systemic sclerosis, referred to our division because of dysphonia and dyspnea. The videolaryngostroboscopy showed the presence of BVFI. Physical examination, blood tests, lung and neck high resolution computed tomography scans did not demonstrate significant abnormalities. She was treated with pulses of intravenous methylprednisolone with slow improvement.
Bilateral vocal fold immobility in a patient with overlap syndrome rheumatoid arthritis/systemic sclerosis / F. Ingegnoli, V. Galbiati, A. Bacciu, S. Zeni, F. Fantini. - In: CLINICAL RHEUMATOLOGY. - ISSN 0770-3198. - 26:10(2007 Oct), pp. 1765-1767.
Bilateral vocal fold immobility in a patient with overlap syndrome rheumatoid arthritis/systemic sclerosis
F. Ingegnoli;V. Galbiati;F. Fantini
2007
Abstract
Bilateral vocal fold immobility (BVFI) can be the result of a primary disorder or as an iatrogenic complication of surgery or intubation. Laryngeal involvement can be a rare complication of connective tissue disorders and it usually occurs in association with other symptoms and signs that indicate active disease. We present a case of BVFI in a patient with an overlap syndrome rheumatoid arthritis/systemic sclerosis, referred to our division because of dysphonia and dyspnea. The videolaryngostroboscopy showed the presence of BVFI. Physical examination, blood tests, lung and neck high resolution computed tomography scans did not demonstrate significant abnormalities. She was treated with pulses of intravenous methylprednisolone with slow improvement.Pubblicazioni consigliate
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