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Viral laryngitis: a mimic and a monster - range, presentation, management.

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Summary

This review covers recent literature on diagnosing and treating uncommon viral laryngitis, including postviral vagal neuropathy, laryngeal shingles, and idiopathic ulcerative laryngitis.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Neurology

Background:

  • Viral laryngitis encompasses less common conditions beyond typical acute infections.
  • These include chronic cough associated with postviral vagal neuropathy, varicella zoster virus (VZV) infection of the larynx (laryngeal shingles), and idiopathic ulcerative laryngitis.
  • The latter is increasingly suspected to have viral origins.

Purpose of the Study:

  • To review recent literature on the diagnosis and treatment of these specific uncommon viral laryngitis forms.
  • To highlight diagnostic challenges and emerging therapeutic strategies.

Main Methods:

  • Literature review of recent studies.
  • Emphasis on diagnostic approaches including history, physical examination, and specialized tests.
  • Discussion of current and potential treatment modalities.

Main Results:

  • Diagnosis often requires a comprehensive evaluation, potentially involving subspecialists (gastroenterology, pulmonology).
  • Postviral vagal neuropathy causing chronic cough is a diagnosis of exclusion, with laryngeal electromyography showing potential utility.
  • Neuromodulators are a focus for treating this neuropathy.
  • Treatment for laryngeal shingles and idiopathic ulcerative laryngitis remains less defined due to their rarity.

Conclusions:

  • Recent research offers insights into the diagnosis and management of these rare viral laryngitis conditions.
  • Future studies are needed to further elucidate effective treatment options for laryngeal shingles and idiopathic ulcerative laryngitis.