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Laryngeal involvement by systemic lupus erythematosus
Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology
|January 1, 1977
Summary
Systemic lupus erythematosus can affect the larynx, causing mucosal or serosal issues. Indirect laryngeal photography aids in tracking these laryngeal changes and guiding treatment.
Area of Science:
- Otolaryngology
- Rheumatology
- Medical Imaging
Background:
- Systemic lupus erythematosus (SLE) can present with laryngeal manifestations, affecting both mucosal and serosal surfaces.
- Laryngeal involvement in SLE requires careful monitoring and tailored management strategies.
Observation:
- Indirect laryngeal photography using a rod laryngeal telescope proved effective for documenting laryngeal pathology evolution in two SLE patients.
- Serosal involvement, specifically cricoarytenoid arthritis, was monitored by assessing vocal cord mobility and throat pain.
- Mucosal disease management involves corticosteroid therapy, with potential need for tracheostomy or surgical reconstruction if airway compromise occurs.
Findings:
- Laryngeal photography offers a valuable method for observing the progression of SLE-related laryngeal pathology.
- Sequential assessment of vocal cord function and pain levels helps manage serosal manifestations like cricoarytenoid arthritis.
- Corticosteroid therapy is the cornerstone for managing both mucosal and serosal laryngeal involvement in SLE.
Implications:
- This documentation method can improve the understanding and clinical management of laryngeal lupus.
- Early identification and monitoring of laryngeal pathology in SLE patients may prevent severe airway complications.
- The findings support the use of corticosteroids as a primary treatment modality for laryngeal SLE, with surgical intervention reserved for refractory cases.