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Dysphonia as a sign of HPV laryngeal infection: a case report
Carlos Eduardo Gama Longubuco, Helena Lucia Barroso dos Reis1, Fernanda Sampaio Cavalcante
1Ginecology and Obstetrics Outpatient Care, Federal University of Espírito Santo (UFES), Vitória, Brazil. dr.hbarroso@gmail.com.
Background:
Voice dysfunction or dysphonia may be associated with several clinical conditions. Among these, laryngeal human papillomavirus (HPV)-induced lesions should be considered as a possible causative factor. We report a case of dysphonia in a patient presenting with an HPV laryngeal lesion. We also discuss the clinical features of the disease, its histopathological findings, and treatment and rigorous follow-up.
Case Presentation:
We report a case of laryngeal papilloma in a 29-year-old, Afro-descendant, male patient with dysphonia. He was a non-smoker and was not a drug user. Videolaryngostroboscopy revealed signs suggestive of pharyngolaryngeal reflux. The right vocal fold presented with a papillomatous aspect in the posterior third, which underwent excision. Histopathological examination showed a nodular lesion of the right vocal fold, conclusive of squamous papilloma with absence of malignancy.
Conclusion:
Patients presenting with persistent voice dysfunction or dysphonia should be investigated for possible laryngeal HPV infection. Diagnostic confirmation by HPV genotyping is important for follow-up of potential recurrence.

