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Laryngeal stenosis in a patient with severe congenital neutropenia
Hideki Bando1, Hikaru Nagao, Takeshi Nishio
1Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. hbando@koto.kpu-m.ac.jp
Objectives/Hypothesis:
We report the first case of laryngeal stenosis with granuloma in a patient with severe congenital neutropenia (SCN).
Study Design:
Case report and retrospective review.
Methods:
Review of medical records.
Results:
A 6-year-old female who was diagnosed with SCN presented with a cough and wheezing. An endoscopic study revealed laryngeal stenosis with granuloma. Tracheotomy and direct laryngoscopy were performed under general anesthesia, and administration of granulocyte colony-stimulating factor was started. The laryngeal granuloma disappeared 3 weeks later, and the tracheal stoma was closed.
Conclusions:
Presence of a laryngeal lesion should be considered in SCN patients with persistent airway symptoms.
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