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Your search keyword '"spontaneous improvement"' showing total 2 results
Start Over Descriptor "spontaneous improvement" Topic laryngoscopy
2 results on '"spontaneous improvement"'

1. Spontaneous improvement of laryngeal sarcoidosis resistant to systemic corticosteroid administration.

Author

Tsubouchi, Kazuya, Hamada, Naoki, Ijichi, Kayo, Umezaki, Toshiro, Takayama, Koichi, and Nakanishi, Yoichi

Subjects
*CORTICOSTEROIDS, *HORMONE therapy, *SYMPTOMS, *LARYNGOSCOPY, *SPIROMETRY, *HISTOPATHOLOGY, LARYNGEAL tumors
Abstract

We report herein a case of laryngeal sarcoidosis that was refractory to systemic corticosteroids, but that improved spontaneously. A 49-year-old woman complained of dysphagia and hoarseness with accompanying edematous swellings of both arytenoid regions. She was referred to our hospital after systemic corticosteroid therapy failed to achieve any improvement. Laryngoscopy showed marked edema of the epiglottis and both arytenoid regions. The flow-volume curve on spirometry showed flattening of the expiratory flows. Histopathological examination of the arytenoid region showed non-caseating epithelioid granulomas, and laryngeal sarcoidosis was diagnosed with the result of BAL study. She was observed without treatment as symptoms were mild. Although edema of the left arytenoid region seemed to be somewhat worsened after 6 months, she continued to be followed closely because of improvements in the flow-volume curve and increasing peak expiratory flow. By 1 year after onset, symptoms and epiglottal swelling had spontaneously improved. [ABSTRACT FROM AUTHOR]

Published
2015
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2. Spontaneous improvement of laryngeal sarcoidosis resistant to systemic corticosteroid administration

Author

Toshiro Umezaki, Yoichi Nakanishi, Koichi Takayama, Naoki Hamada, Kayo Ijichi, and Kazuya Tsubouchi

Subjects
Pulmonary and Respiratory Medicine, Spirometry, spontaneous improvement, medicine.medical_specialty, Epiglottis, medicine.diagnostic_test, business.industry, medicine.drug_class, Laryngoscopy, Case Reports, medicine.disease, Dysphagia, Surgery, laryngeal involvement, medicine.anatomical_structure, Refractory, Edema, otorhinolaryngologic diseases, medicine, Corticosteroid, sarcoidosis, Sarcoidosis, medicine.symptom, Flow–volume curve, business
Abstract

We report herein a case of laryngeal sarcoidosis that was refractory to systemic corticosteroids, but that improved spontaneously. A 49-year-old woman complained of dysphagia and hoarseness with accompanying edematous swellings of both arytenoid regions. She was referred to our hospital after systemic corticosteroid therapy failed to achieve any improvement. Laryngoscopy showed marked edema of the epiglottis and both arytenoid regions. The flow–volume curve on spirometry showed flattening of the expiratory flows. Histopathological examination of the arytenoid region showed non-caseating epithelioid granulomas, and laryngeal sarcoidosis was diagnosed with the result of BAL study. She was observed without treatment as symptoms were mild. Although edema of the left arytenoid region seemed to be somewhat worsened after 6 months, she continued to be followed closely because of improvements in the flow–volume curve and increasing peak expiratory flow. By 1 year after onset, symptoms and epiglottal swelling had spontaneously improved.

Published
2015

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