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Iron Pill-Induced Chemical Laryngitis
Rishabh Sethia1, Ryan Bishop2, Adlin Gordian-Arroyo2
1Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
This case study highlights iron pill-induced laryngitis, a rare condition causing severe dysphonia. Prompt diagnosis and management, including vocal fold injection, are crucial for recovery.
Area of Science:
- Otolaryngology
- Gastroenterology
Background:
- Pill-induced laryngitis is a rare condition, often linked to bisphosphonates.
- It presents as chemical injury to the larynx following pill aspiration.
Observation:
- A 71-year-old male experienced complete voice loss after aspirating an iron pill.
- Laryngoscopy revealed significant vocal fold and infraglottic inflammation, ulceration, and crusting.
- The patient also exhibited glottic insufficiency and suspected sensory deficit.
Findings:
- Treatment with nebulized antibiotics and humidified air improved mucosal crusting.
- Persistent glottic insufficiency necessitated bilateral hyaluronic acid injection for voice restoration.
Implications:
- This case broadens the spectrum of medications causing pill-induced laryngitis to include iron supplements.
- Early recognition and tailored management, potentially including vocal fold augmentation, are vital for patients with dysphonia and a history of pill aspiration.
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