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[Dysphonia produced by corticoid inhalation: truth or myth?]
M Bonet Agustí1, P Casan Clarà
1Universidad de Barcelona.
Archivos De Bronconeumologia
|October 1, 1995
Summary
Inhaled corticosteroids can cause dysphonia in asthma patients. However, this voice condition is temporary and linked to mucus, not a reason to stop medication.
Area of Science:
- Pulmonology
- Otolaryngology
Background:
- Inhaled corticosteroids are a common treatment for asthma.
- Dysphonia (hoarseness) is a potential side effect linked to vocal muscle effects.
Observation:
- Five asthma patients experiencing dysphonia were examined using video laryngostroboscopy.
- Findings revealed abundant mucus on vocal cords in four patients.
- Two patients also presented with small vocal nodules alongside mucus.
Findings:
- Dysphonia in these asthma patients appears to be transient.
- The primary cause identified is excessive mucus hindering glottis closure.
- This mucus accumulation interferes with normal vocal cord function.
Implications:
- Dysphonia in this context is not a contraindication for inhaled corticosteroids.
- Continued corticosteroid use may improve dysphonia by reducing underlying asthmatic inflammation.
- Managing mucus buildup is key to resolving corticosteroid-induced dysphonia in asthma.