在患有甲状腺结节的患者中引起声的非典型原因
Shruti M Gandhi1, Edina Paal2, Eric S Nylen1
1Endocrinology Service, Veterans Affairs Medical Center, Washington, DC 20422, USA.
Military medicine
|July 5, 2023
概括
声麻 (VFP) 可能是系统性红斑狼 (SLE) 的早期,罕见的症状. 这一案例突出了VFP作为SLE的呈现症状,尽管接受了治疗,但恢复有限.
科学领域:
- 类风湿病学 类风湿病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病理学 病理学 病理学
背景情况:
- 声麻痺 (Vocal fold paresis,VFP) 呈现出声,并有多种原因,包括诸如系统性红斑狼 (SLE) 这样的自身免疫性疾病.
- 关节是SLE炎症的常见部位,影响喉.
- 诊断SLE可能具有挑战性,特别是当初始症状不典型时.
结论:
- 这一案例强调了考虑自身免疫病因在不解释的声和VFP方面的重要性.
- 即使在罕见出现症状的情况下,早期诊断SLE对于管理至关重要.
- 用葡萄糖皮质类药物和Plaquenil治疗只能使喉功能部分恢复.
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