Related Experiment Video
Updated: Jul 13, 2026
04:50
Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
Published on: May 16, 2025
Laryngeal involvement in rheumatoid arthritis
Abdul-Latif Hamdan1, Mohamad El-Khatib, Walid Dagher
1Department of Otolaryngology-Head & Neck Surgery, American University of Beirut Medical Center, Lebanon.
Middle East Journal of Anaesthesiology
|August 10, 2007
Summary
Rheumatoid arthritis patients require pre-surgery screening for laryngeal issues. Early detection of voice or breathing problems is crucial for timely intervention and safe anesthesia.
Area of Science:
- Rheumatology
- Otolaryngology
- Anesthesiology
Background:
- Rheumatoid arthritis (RA) can affect laryngeal structures, potentially leading to surgical complications.
- Laryngeal manifestations in RA patients are often underdiagnosed, posing risks during anesthesia.
Purpose of the Study:
- To emphasize the importance of screening rheumatoid arthritis patients for laryngeal involvement before surgery.
- To highlight diagnostic methods and therapeutic strategies for RA-related laryngeal issues.
Main Methods:
- Comprehensive patient history and physical examination.
- Indirect or direct laryngoscopy for laryngeal assessment.
- High-resolution computed tomography (HRCT) for advanced cases.
Main Results:
- Nonspecific laryngeal symptoms in RA patients warrant suspicion of laryngeal involvement.
- Phonatory disturbances and airway difficulties may indicate advanced disease.
- HRCT findings often correlate with symptomatic laryngeal involvement.
Conclusions:
- Pre-operative laryngeal screening is mandatory for rheumatoid arthritis patients.
- Prompt diagnosis and aggressive treatment, including corticosteroid injections if needed, are essential.
- Anesthesiologists must exercise extreme caution when managing the airways of these patients.
Related Concept Videos
01:23Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
01:21Larynx
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
01:24T Cell Types and Functions
When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
01:31Respiratory System Abnormal Finding II: Palpation and Auscultation
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
01:13Asthma III: Clinical Manifestations
Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...